Strategy for the management of patients with respiratory complications in the perioperative period


DOI: https://dx.doi.org/10.18565/therapy.2019.5.97-103

Kotova D.P., Krasnov V.G., Shemenkova V.S., Shevyrev S.N.

1) Pirogov’s City Clinical Hospital No 1, Moscow Department of Health 2) Department of Faculty therapy named after A.I. Nesterov of N.I. Pirogov Russian National research medical University
According to the literature, the incidence of respiratory complications in the perioperative period remains quite high. The most common complications are usually pneumonia and respiratory failure, as a result of bronchial obstruction. A large role in the development of respiratory complications played the presence in the history of chronic respiratory disease, severe comorbidities, the type of anesthesia, as well as features of surgical intervention. Assessment of risk factors for perioperative respiratory complications helps the doctor to identify modifiable factors and prepare the patient for the planned operation. This review discusses the main causes of respiratory complications in patients undergoing surgical intervention of various sizes, as well as possible ways to prevent and correct them.
Keywords: «high risk» operations, bronchospasm, perioperative respiratory complications, respiratory failure, bronchial obstruction
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About the Autors

Daria P. Kotova, PhD, head of the therapeutic Department of N.I. Pirogov City сlinical hospital No.1 of the Department of Healthcare of Moscow, assistant professor of Academician A.I. Nesterov faculty therapy Department of N.I. Pirogov Russian National research medical University of the Ministry of Healthcare of Russia. Address: 117997, Moscow,
1 Ostrovityanova Str. Tel.: +7 (499) 237-69-17. E-mail: doc.kotova@mail.ru
Vladislav G. Krasnov, PhD, head of anesthesiology service of N.I. Pirogov City сlinical hospital No.1 of the Department of Healthcare of Moscow. Address: 119049, Moscow, 8 Leninsky Prospekt. Tel.: +7 (499) 764-50-02. E-mail: gkb1@zdrav.mos.ru
Victoria S. Shemenkova, graduate student of Academician A.I. Nesterov Department of faculty therapy of N.I. Pirogov Russian National research medical University of the Ministry of Healthcare of Russia, general practitioner of N.I. Pirogov City сlinical hospital No.1 of the Department of Healthcare of Moscow. Address: 117997, Moscow, 1 Ostrovityanova Str. Tel.: +7 (915) 319-55-35. E-mail: vshemenkova@mail.ru
Sergey N. Shevyrev, anesthesiologist of N.I. Pirogov City сlinical hospital No.1 of the Department of Healthcare of Moscow. Address: 119049, Moscow, 8 Leninsky Prospekt. Tel.: +7 (499) 764-50-02. E-mail: gkb1@zdrav.mos.ru

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