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Pulmonary function before and after abdominal surgery in the aged

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Abstract

In patients 70 years or older, pulmonary function tests were performed before and after abdominal surgery to correlated the results with the development of postoperative pulmonary complications which developed in 48% of these patients, compared to 15% in the control group. To predict the development of PPC, preoperative analysis of the flow-volume curve is useful and\(4\left( {\dot V_{50} - \dot V_{25} } \right)/forced\) vital capacity is a valuable parameter for the analysis of the flow-volume curve. Postoperatively, pulmonary function was reduced and there was a delay in the restoration of pulmonary function in cases with postoperative pulmonary complications. The administration of appropriate analgesics may be useful to improve postoperative ventilatory disturbances.

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References

  1. Black, J., Kallor, G.J. and Collis, J.L.: The effect of the surgical approach on respiratory function after esophageal resection, Br. J. Surg. 64: 624–627, 1977.

    PubMed  CAS  Google Scholar 

  2. Comroe, J.H.Jr., Forster, R.E., Dubois, A.B. Briscoe, W.A. and Carlsen, E.: The Lung, Clinical Physiology and Pulmonary Function Tests, pp. 7–26, Year Book Medical Publishers, Chicago, 1962.

    Google Scholar 

  3. Drummond, G.B.: Postoperative hypoxaemia and oxygen therapy, Br. J. Anaesth. 47: 491–499, 1975.

    PubMed  CAS  Google Scholar 

  4. Hansen, G., Drablos, P.A. and Steinert, R.: Pulmonary complications, ventilation and blood gases after upper abdominal surgery, Acta Anaesth. Scand. 21: 211–215, 1977.

    Article  PubMed  CAS  Google Scholar 

  5. Hasegawa, T., Saito, Y., Kimura, K., Myojyo, S. and Hasegawa, S.: Studies on flow-volume curves of patients with pulmonary cancer, Gan no Rinsho (J. Cancer Clin.) 23: 537–540, 1977 (in Japanese).

    Google Scholar 

  6. Hewlett, A.M. and Branthwaite, M.A.: Postoperative pulmonary function, Br. J. Anaesth. 47: 102–107, 1975.

    PubMed  CAS  Google Scholar 

  7. Kaibara, N. and Matsumoto, T.: The evaluation and preoperative preparation of patients with chronic lung disease, Geka Chiryo (Surg. Ther.) 42: 147–151, 1980, (in Japanese).

    Google Scholar 

  8. Knudsen, J.: Duration of hypoxaemia after uncomplicated upper abdominal and thoracoabdominal operations, Anaesthesia, 25: 372–377, 1970.

    PubMed  CAS  Google Scholar 

  9. Lindell, P. and Hedenstierna, G.: Ventilation efficiency after different incisions for cholecystectomy, Acta Chir. Scand. 142: 561–565, 1976.

    PubMed  CAS  Google Scholar 

  10. Okubo, T., Shibata, H., Takahashi, H. and Saito, Y.: A review for the assessment of closing volume, Hai to Shin (Lung and Heart) 22: 38–45, 1975 (English Abst.)

    Google Scholar 

  11. Parfrey, P.S., Harte, P.J., Quinlan, J.P. and Brady, M.P.: Pulmonary function in the early postoperative period, Br. J. Surg. 64: 384–389, 1977.

    PubMed  CAS  Google Scholar 

  12. Schwaber, J.R.: Evaluation of respiratory status in surgical patients, Surg. Clin. North Amer. 50: 637–644, 1970.

    CAS  Google Scholar 

  13. Stein, M. and Cassard, E.L.: Preoperative pulmonary evaluation and therapy for surgical patients, J. Amer. Med. Assoc. 211: 787–799, 1970.

    Article  CAS  Google Scholar 

  14. Stein, M., Korta, G., Simon, M. and Frank, H.: Pulmonary evaluation of surgical patients, J. Amer. Med. Assoc. 181: 765–770, 1962.

    CAS  Google Scholar 

  15. Takishima, T. and Sasaki, H.: Clinical value and limitation of diagnosis by pulmonary function tests, Hai to Shin (Lung and Heart) 18: 212–219, 1971 (English Abst.).

    Google Scholar 

  16. Yamabayashi, H.: Physiological and clinical evaluation of flow-volume curve, Hai to Shin (Lung and Heart) 22: 47–52, 1975 (English Abst.).

    Google Scholar 

  17. Yoshida, T., Ushijima, Y., Inokuchi, K., Hirose, T., Shirakusa, T. and Katayama, N.: Evaluation of the risk of postoperative pulmonary complications, Jpn. J. Surg. 7: 131–138, 1977.

    Article  PubMed  CAS  Google Scholar 

  18. Yoshimura, K. and Yoshitake, T.: Pre- and postoperative management of complicated patients-pulmonary insufficiency, Shujutsu (Operation) 29: 403–408, 1975 (in Japanese).

    Google Scholar 

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Kaibara, N., Iwai, N., Nishimura, O. et al. Pulmonary function before and after abdominal surgery in the aged. The Japanese Journal of Surgery 11, 73–79 (1981). https://doi.org/10.1007/BF02468872

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