Abstract
Thoracic and upper abdominal surgery are known to be associated with a high incidence of pulmonary atelectasis and pulmonary infections. After upper abdominal surgery, pulmonary complications occur in 30 to 75% of patients, depending on the criteria defining these complications, on the nature and the duration of the surgical procedure, and on postoperative therapeutic management. Most of the alterations of the respiratory system are specific of these types of surgery, since they do not appear in peripheral surgery, and develop during the first postoperative day [1]. Some of these respiratory impairments are already present as soon as the patient emerges from anesthesia, some are not present during the recovery period and appear progressively during the first postoperative day.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Craig DB (1983) Postoperative recovery of pulmonary function. Anesth Analg 60:46–52
Ali J, Weisel RD, Layng AB, Kripke BJ, Hechtman HB (1974) Consequences of postoperative alteration in respiratory mechanics. Am J Surg 128:376–382
Clergue F, Montembault C, Despierres O, Ghesquiere F, Harari A, Viars P (1984) Respiratory effects of intrathecal morphine after upper abdominal surgery. Anesthesiology 61:677–685
Tahir AA, George RB, Weill H, Adriani J (1973) Effects of abdominal surgery upon diaphragm function and regional ventilation. Int Surg 58:337–340
Ford GT, Whitelaw WA, Rosenal TW, Cruse PJ, Guenter CA (1983) Diaphragm function after upper abdominal surgery in humans. Am Rev Respir Dis 127:431–436
Simonneau G, Vivien A, Sartene R, et al (1983) Diaphragmatic dysfunction induced by upper abdominal surgery. Am Rev Respir Dis 128:899–903
Road JD, Burgess KD, Whitelaw WA, Ford GT (1984) Diaphragm function and respiratory response after upper abdominal surgery in dogs. J Appl Physiol 57:576–582
Dureuil B, Viires N, Cantineau JP, Aubier M, Desmonts JM (1986) Diaphragmatic contractility after upper abdominal surgery. J Appl Physiol 61:1775–1780
Ford GT, Grant DA, Rideout KS, Davison JS, Whitelaw WA (1988) Inhibition of breathing associated with gallbladder stimulation in dogs. J Appl Physiol 65:72–79
Mankikian B, Cantineau JP, Bertrand M, Kieffer E, Sartene R, Viars P (1988) Improvement of diaphragmatic function by a thoracic extradural block after upper abdominal surgery. Anesthesiology 68:379–386
Duggan J, Drummond GB (1987) Activity of lower intercostal and abdominal muscle after upper abdominal surgery. Anesth Analg 66:852–855
Pansard JL, Philip Y, Bahnini A, et al (1987) Effects of thoracic extradural block on diaphragmatic activity after upper abdominal surgery. Anesthesiology 67:A537 (Abstract)
Weintraub WS, Jones EL, Craver J, Guyton R, Cohen C (1989) Determinants of prolonged length of hospital stay after coronary bypass surgery. Circulation 80:276–284
Maeda H, Nakahara K, Ohno K, Kido T, Ikeda M, Kawashima Y (1988) Diaphragm function after pulmonary resection. Am Rev Respir Dis 137:678–681
Dureuil B, Viires N, Pariente R, Desmonts JM, Aubier M (1987) Effects of phrenic nerve cooling on diaphragmatic function. J Appl Physiol 63:1763–1769
Benjamin JJ, Cascade PN, Rubenfire M, Wajszczuk W, Kerin NZ (1982) Left lower lobe atelectasis and consolidation following cardiac surgery: the effect of topical cooling on the phrenic nerve. Radiology 142:11–14
Estenne M, Yernault JC, De Smet JM, De Troyer A (1985) Phrenic and diaphragm function after coronary artery bypass grafting. Thorax 40:293–299
Wilcox P, Baile EM, Hards J, et al (1988) Phrenic nerve function and its relationship to atelectasis after coronary artery bypass surgery. Chest 93:693–698
Celli BR, Rodriguez KS, Snider GL (1984) A controlled trial of intermittent positive pressure breathing, incentive spirometry, and deep breathing exercises in preventing pulmonary complications after abdominal surgery. Am Rev Respir Dis 130:12–15
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Clergue, F., Pansard, J.L. (1990). Respiratory Changes Induced by Upper Abdominal and Cardiac Surgery. In: Vincent, J.L. (eds) Update 1990. Update in Intensive Care and Emergency Medicine, vol 10. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84125-5_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-84125-5_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-52269-0
Online ISBN: 978-3-642-84125-5
eBook Packages: Springer Book Archive