The perioperative management of patients with severe emphysema

Katherine P. Grichnik; Steven E. Hill

doi:10.1016/S1053-0770(03)00059-4

The perioperative management of patients with severe emphysema

Katherine P. Grichnik, Steven E. Hill

Research output: Contribution to journal › Review article › peer-review

9 Scopus citations

Abstract

Emphysema may be commonly encountered in many surgical populations. The pathophysiology rests on airspace enlargement and obstruction to airflow, especially expiratory airflow. Medical therapy can ameliorate symptoms and improve exercise tolerance but not cure the disease. Surgical attempts to treat emphysema with LVRS remain investigational and lung transplantation is limited by donor availability. Unique anesthetic considerations include the potential for dynamic pulmonary hyperinflation, barotrauma, and pulmonary edema.

Original language	English (US)
Pages (from-to)	364-387
Number of pages	24
Journal	Journal of cardiothoracic and vascular anesthesia
Volume	17
Issue number	3
DOIs	https://doi.org/10.1016/S1053-0770(03)00059-4
State	Published - Jun 2003

Keywords

Anesthesia
Barotrauma
Dynamic pulmonary hyperinflation
Emphysema
Lung volume reduction surgery
Pulmonary edema

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Anesthesiology and Pain Medicine

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10.1016/S1053-0770(03)00059-4

Cite this

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title = "The perioperative management of patients with severe emphysema",

abstract = "Emphysema may be commonly encountered in many surgical populations. The pathophysiology rests on airspace enlargement and obstruction to airflow, especially expiratory airflow. Medical therapy can ameliorate symptoms and improve exercise tolerance but not cure the disease. Surgical attempts to treat emphysema with LVRS remain investigational and lung transplantation is limited by donor availability. Unique anesthetic considerations include the potential for dynamic pulmonary hyperinflation, barotrauma, and pulmonary edema.",

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AU - Grichnik, Katherine P.

AU - Hill, Steven E.

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AB - Emphysema may be commonly encountered in many surgical populations. The pathophysiology rests on airspace enlargement and obstruction to airflow, especially expiratory airflow. Medical therapy can ameliorate symptoms and improve exercise tolerance but not cure the disease. Surgical attempts to treat emphysema with LVRS remain investigational and lung transplantation is limited by donor availability. Unique anesthetic considerations include the potential for dynamic pulmonary hyperinflation, barotrauma, and pulmonary edema.

KW - Anesthesia

KW - Barotrauma

KW - Dynamic pulmonary hyperinflation

KW - Emphysema

KW - Lung volume reduction surgery

KW - Pulmonary edema

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JO - Journal of cardiothoracic and vascular anesthesia

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ER -

The perioperative management of patients with severe emphysema

Abstract

Keywords

ASJC Scopus subject areas

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