Advertisement

Intrinsic Lung Diseases

  • Joshua O. BendittEmail author
Chapter

Abstract

Restrictive lung diseases (RLDs) are disease processes which limit expansion of the respiratory system resulting in a reduction in lung volumes when measured by pulmonary function tests (PFTs). Intrinsic lung diseases result when there is an increase in lung elastic recoil due to scarring or infiltrative processes. These physiologic abnormalities can lead to several increased perioperative risks. Currently, there are no evidence-based guidelines for the perioperative management of RLD. Preoperative evaluation should include a detailed history of functional status and other risk factors for postoperative pulmonary complications. Postoperative recommendations are based on the underlying etiology of disease and a pulmonary consult is warranted in patients with severe respiratory compromise.

Keywords

Intrinsic lung disease Restrictive lung disease Perioperative care 

References

  1. 1.
    Scarlata S, Costanzo L, Giua R, Pedone C, Incalzi RA. Diagnosis and prognostic value of restrictive ventilatory disorders in the elderly: a systematic review of the literature. Exp Gerontol. 2012;47(4):281–9.  https://doi.org/10.1016/j.exger.2012.02.001.CrossRefPubMedGoogle Scholar
  2. 2.
    Pellegrino R, Viegi G, Brusasco V, et al. Interpretative strategies for lung function tests. Eur Respir J. 2005;26(5):948–68.  https://doi.org/10.1183/09031936.05.00035205.CrossRefPubMedGoogle Scholar
  3. 3.
    Choi SM, et al. Postoperative pulmonary complications after surgery in patients with interstitial lung disease. Respiration. 2014;87(4):287–93.  https://doi.org/10.1159/000357046.CrossRefPubMedGoogle Scholar
  4. 4.
    Dronkers JJ, Chorus AMJ, van Meeteren NLU, Hopman-Rock M. The association of preoperative physical fitness and physical activity with outcome after scheduled major abdominal surgery. Anaesthesia. 2013;68(1):67–73.  https://doi.org/10.1111/anae.12066.CrossRefPubMedGoogle Scholar
  5. 5.
    Simić D, Ladjević N, Milenović M, Bogićević A, Strajina V, Janković R. Preoperative preparation of patients with infectious and restrictive respiratory diseases as comorbidities. Acta Chir Iugosl. 2011;58(2):63–9.CrossRefGoogle Scholar
  6. 6.
    Qaseem A, Snow V, Fitterman N, et al. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med. 2006;144(8):575–80.  https://doi.org/10.7326/0003-4819-144-8-200604180-00008. Open image in new window
  7. 7.
    Diaz-Fuentes G, Hashmi HR, Venkatram S. Perioperative evaluation of patients with pulmonary conditions undergoing non-cardiothoracic surgery. Health Serv Insights. 2016;9(Suppl 1):9–23. eCollection 2016.PubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Medicine, Division of Pulmonary, Critical Care & Sleep MedicineUniversity of Washington School of MedicineSeattleUSA

Personalised recommendations