Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-09T19:57:52.377Z Has data issue: false hasContentIssue false

Chapter 25 - Management of post-operative respiratory problems

from Section 3 - Post-operative management

Published online by Cambridge University Press:  10 December 2009

Cait P. Searl
Affiliation:
Freeman Hospital, Newcastle
Sameena T. Ahmed
Affiliation:
Freeman Hospital, Newcastle
Get access

Summary

Lung separation techniques are generally unnecessary in the post-operative period and are usually replaced by a single lumen endotracheal tube if continued mechanical ventilation is required. Single lumen tubes are preferable as double lumen tubes (DLTs) are more likely to cause airway trauma and edema due to their size. Non-invasive positive pressure ventilation as management of acute hypoxemic respiratory insufficiency after lung resection has been shown to reduce the requirement for endotracheal intubation and invasive ventilation and to potentially reduce associated mortality. Acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) is one of the main causes of mortality following surgery for lung resection. A strategy for fluid administration during lung resection surgery might include a restrictive policy of replacing losses and avoiding hypovolemia. Administration of fluid may be guided by the measurement of central venous pressure and urinary output.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×