Postoperative Respiratory Management

  • J. G. Jones
Conference paper
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 1)


The likelihood of respiratory complications following anaesthesia and surgery depends upon the presence of a number of well recognised pre-disposing factors which should be carefully considered at the pre-operative visit [12]. These must be taken into account when planning
  1. 1.

    pre-operative medication and management,

  2. 2.

    anaesthetic technique to be employed,

  3. 3.

    post operative management.

Aspiration of gastric contents in the peri-operative period is a well recognised pulmonary complication. This subject, together with pulmonary embolism will not be discussed in this short review which emphasises impairment of respiratory control.


Obstructive Sleep Apnea Obstructive Sleep Apnoea Ventilatory Response Oxygen Desaturation Hypoxic Episode 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Arunasalam K, Davenport HT, Painter S, Jones JG (1983) Ventilatory response to morphine in young and old subjects. Anaesthesia 38: 529–533PubMedGoogle Scholar
  2. 2.
    Block AJ, Faulkner JA, Hughes RL, Remmers JE, Thach B (1984) Factors influencing upper airway closure. Chest 86: 114–122PubMedCrossRefGoogle Scholar
  3. 3.
    Boiden MP (1985) Airway patency in the unconscious patient. Br J Anaesth 57: 306–310CrossRefGoogle Scholar
  4. 4.
    Bradley TD, Martinez D, Rutherford R, Lue F, Grossman RF, Moldofsky H, Zamel N, Phillipson EA (1985) Physiological determinants of nocturnal arterial oxygenation in patients with obstructive sleep apnea. J Appl Physiol 59: 1364–1368PubMedGoogle Scholar
  5. 5.
    Catley DM (1984) Postoperative analgesia and respiratory control. ed Jones JG. Effects of anesthesia and surgery on pulmonary mechanisms and gas exchange. Int Anesth Clinics. Little, Brown. Boston. 22: 95–111Google Scholar
  6. 6.
    Catley DM, Thornton C, Jordan C, Lehane JR, Royston D, Jones JG (1985) Pronounced, episodic oxygen desaturation in the postoperative period: its association with ventilatory pattern and analgesic regimen. Anesthesiology 63: 20–28PubMedCrossRefGoogle Scholar
  7. 7.
    Catling JA, Pinto DM, Jordan C, Jones JG (1980) Respiratory effects of analgesia after cholecystectomy: Comparison of continuous and intermittent papaveretum. Br Med J 281: 478–480PubMedCrossRefGoogle Scholar
  8. 8.
    Crow TJ, Kelman GR (1971) Effect of mild acute hypoxia on short term memory. Br J Anaesth 43: 548–552PubMedCrossRefGoogle Scholar
  9. 9.
    Drummond GB (1984) Factors influencing the control of breathing. ed Jones JG. Effects of anesthesia and surgery on pulmonary mechanisms and gas exchange. Int Anesth Clinics. Little, Brown. Boston. 22: 59–74Google Scholar
  10. 10.
    Garibaldi RA, Britt MR, Coleman ML, Reading JC, Pace NL, (1981) Risk factors for post operative pneumonia. Am J Med 70: 677–680PubMedCrossRefGoogle Scholar
  11. 11.
    Gothard JWW, Branthwaite MA (1982) In: Anaesthesia for thoracic surgery. Blackwell Scientific Publications p 8–27Google Scholar
  12. 12.
    Jones JG (1984) Pulmonary complications following general anaesthesia. ed Kaufman L. Anaesthesia Review 2. Churchill Livingstone, London. p 21–38Google Scholar
  13. 13.
    Jones JG, Scudder C, Barrowcliffe M, Jordan C, Rocke DA (1985) Episodic postoperative oxygen desaturation: the value of added oxygen. J Roy Soc Med 78: 1019–1022PubMedGoogle Scholar
  14. 14.
    McClain DA, Hug CC (1984) Pharmacodynamics of opiates. ed Jones JG. Effects of anesthesia and surgery on pulmonary mechanisms and gas exchange. Int Anesth Clinics. Little, Brown. Boston 22: 75–94Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • J. G. Jones

There are no affiliations available

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