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A small step in the right direction for reducing postoperative pulmonary complications

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Lumb, A. B. and Yeung, Joyce (2018) A small step in the right direction for reducing postoperative pulmonary complications. British Journal of Anaesthesia, 120 (6). pp. 1155-1157. doi:10.1016/j.bja.2018.03.018

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Official URL: http://dx.doi.org/10.1016/j.bja.2018.03.018

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Abstract

Only 12 yr after the first successful public demonstration of general anaesthesia in 1846, one of the first adverse effects to be described was reported by John Snow: ‘If the inhalation is continued the breathing is rendered difficult, feeble, or irregular, and is sometimes performed only by the diaphragm, whilst the intercostal muscles are paralysed. If the dose of chloroform is gradually increased after these effects are produced, the breathing entirely ceases’.1 Ever since this observation, the fact that anaesthesia can cause postoperative chest complications has been widely accepted by anaesthetists, so it is surprising that only relatively recently have serious efforts been made to understand the aetiology of this common problem, with a view to being able to their prediction and prevention. The term postoperative pulmonary complication (PPC) has become widely adopted and describes a single outcome measure representing a disparate collection of complications linked only by a common organ of origin. PPCs are more common than cardiovascular complications, have a significant impact on outcome measures such as length of hospital stay, increase healthcare costs, and when severe are associated with increased mortality.

Item Type: Journal Article
Divisions: Faculty of Medicine > Warwick Medical School
Journal or Publication Title: British Journal of Anaesthesia
Publisher: Elsevier Ltd
ISSN: 0007-0912
Official Date: 1 June 2018
Dates:
DateEvent
1 June 2018Published
21 April 2018Available
27 March 2018Accepted
Date of first compliant deposit: 4 May 2018
Volume: 120
Number: 6
Page Range: pp. 1155-1157
DOI: 10.1016/j.bja.2018.03.018
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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