Hypoxemia is a common manifestation of many postoperative pulmonary complications (PPCs). PPCs encompass a wide range of disorders, including atelectasis, pulmonary embolism, pneumonia, and pulmonary edema. Evaluation of a patient with postoperative hypoxemia requires the assessment of underlying causes while simultaneously correcting oxygenation. Knowledge of patient-specific and surgical risk factors as well as perioperative events can aid in identifying and treating the underlying cause of hypoxemia.
KeywordsPostoperative Hypoxia Hypoxemia Pulmonary complications
Chapter reviewed by Cyrus Hui, MD, Valley Anesthesia Associates, University of Washington Valley Medical Center.
- 3.Nicholau TK. The postanesthesia care unit. In: Miller R, editor. Miller’s anesthesia. 8th ed. Philadelphia, PA: Saunders; 2016. p. 2924–46.Google Scholar
- 8.Fowler MA, Spiess MA. Postanesthesia recovery. In: Barash PG, editor. Clinical anesthesia. 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013. p. 1561–9.Google Scholar
- 11.Toledo C, et al. Pulmonary complications after non-cardiac surgeries: temporal patterns and risk factors. Anesthesiol Intensive Ther. 2017;49(4):245–51.Google Scholar
- 14.Ireland CJ, et al. Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery (Review). Cochrane Database of Syst Rev. 2014;(8):CD008930.Google Scholar
- 15.Tokarczyk AJ, et al. Oxygen delivery systems, inhalation, and respiratory therapy. In: Hagberg CA, editor. Hagberg and Benumof’s airway management. Philadelphia: Elsevier. 2012. p. 287–308.e3.Google Scholar
- 17.Verma R, Nelson RL. Prophylactic nasogastric decompression after abdominal surgery. Cochrane Database Syst Rev. 2007;(3):CD004929.Google Scholar
- 18.Ni Y, et al. Can high-flow nasal cannula reduce the rate of endotracheal intubation in adult patients with acute respiratory failure compared with conventional oxygen therapy and noninvasive positive pressure ventilation? A systematic review and meta-analysis. Chest. 2017;151(4):764–75.CrossRefGoogle Scholar
- 19.Duggan D, Kavanagh BP. Atelectasis in the perioperative patient. Curr Opin Anaesthesiol. 2005;102:838–54.Google Scholar
- 21.Edelsberg J, et al. Venous thromboembolism following major orthopedic surgery: review of epidemiology and economics. Am J Health Syst Pharm. 2001;58(2):S4–S13.Google Scholar