Preoperative Pulmonary Update

Gerald W. Smetana, Michelle V. Conde

Research output: Contribution to journalReview articlepeer-review

19 Scopus citations


Postoperative pulmonary complications are an important source of surgical morbidity. In this paper, the authors review recent studies that shed light on emerging risk factors, a multifactorial index for respiratory failure, and the value of specific risk reduction strategies. Novel risk factors include advanced age, congestive heart failure, pulmonary hypertension, and obstructive sleep apnea. Important risk reduction strategies include postoperative lung expansion maneuvers, the selective use of nasogastric tubes, epidural analgesia, and inspiratory muscle training.

Original languageEnglish (US)
Pages (from-to)607-624
Number of pages18
JournalClinics in Geriatric Medicine
Issue number4
StatePublished - Nov 2008


  • Elderly
  • Intraoperative care
  • Intraoperative complications
  • Management
  • Perioperative complications
  • Postoperative complications
  • Preoperative care
  • Pulmonary
  • Respiratory

ASJC Scopus subject areas

  • Geriatrics and Gerontology


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