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Anesthesiol Clin. 2018 Dec;36(4):523-538. doi: 10.1016/j.anclin.2018.07.004. Epub 2018 Oct 12.

Preoperative Evaluation: Estimation of Pulmonary Risk Including Obstructive Sleep Apnea Impact.

Author information

1
Department of Anesthesia and Perioperative Medicine, London Health Science Centre, St. Joseph Health Care, Western University, Centre, Victoria Hospital, 800 Commissioners Road East, London, Ontario N6A 5W9, Canada.
2
Department of Anesthesia and Perioperative Medicine, London Health Science Centre, St. Joseph Health Care, Western University, University Hospital, 339 Windermere Road, London, Ontario N6A 5A5, Canada.
3
Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst street, Toronto, Ontario M5T2S8, Canada.
4
Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst street, Toronto, Ontario M5T2S8, Canada. Electronic address: frances.chung@uhn.ca.

Abstract

One in 4 deaths occurring within a week of surgery are related to pulmonary complications, making it the second most common serious morbidity after cardiovascular events. The most significant predictors of the postoperative pulmonary complications (PPCs) are American Society of Anesthesiologists physical status, advanced age, dependent functional status, surgical site, and duration of surgery. The overall risk of PPCs can be predicted using scores that incorporate readily available clinical data.

KEYWORDS:

Anesthesia; Obstructive sleep apnea; Preoperative evaluation; Pulmonary complications; Pulmonary risk; Risk factors; Surgery

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