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KMID : 1141720170050020007
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폐쇄성폐질환
2017 Volume.5 No. 2 p.7 ~ p.7
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Oh Yeon-Mok
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Abstract
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Postoperative pulmonary complications (PPCs) are one of the most important causes of postoperative morbidity and mortality in non-thoracic as well as thoracic surgery. However, PPCs are diversely defined as from transient hypoxia and bronchospasm to long-term respiratory failure, including weaning failure and reintubation. Generally, PPCs are associated with various preoperative and intraoperative conditions, such as age, smoking habit, chronic obstructive pulmonary disease (COPD), pulmonary hypertension, sleep apnea, nutritional status, physical activity, surgical site, operation time, general anesthesia, muscle relaxants, emergency operation, intraoperative bleeding, and laparoscopic surgery. Although COPD has been considered a significant risk factor for PPCs, it remains still uncertain facets due to heterogeneity of COPD. Most studies have shown that severe or symptomatic COPD was associated with an increased prevalence of PPCs in various settings. However, recent paper suggested that mild-to-moderate COPD was not significantly associated with development of PPCs in non-thoracic surgery.
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KEYWORD
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COPD, Postoperative pulmonary complications, Abdominal surgery, Risk factor
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