[Perioperative Rehabolotation Usefulness in Preventing Complications].
Kyobu Geka
; 76(10): 878-882, 2023 Sep.
Article
em Ja
| MEDLINE
| ID: mdl-38056855
ABSTRACT
The number of elderly patients in thoracic surgery is increasing. The percentage of patients over the age of 80 in surgical cases of malignant diseases such as lung cancer and mediastinal tumors is increasing every year. It is also true that the indications for surgery have been expanding as surgery itself has become less invasive, such as thoracoscopic and robotic surgery. However, it is not uncommon for patients over 80 years of age to have some organ dysfunction and many comorbidities. Therefore, when performing surgery for lung cancer and other diseases, it is important to assess the patient's ability to tolerate surgery, including respiratory and cardiac functions, and to perform risk management. To prevent postoperative complications and improve the accuracy of perioperative management, respiratory rehabilitation should be conducted before and after surgery, and not only smoking cessation instruction but also inhalation training using incentive spirometry( IS), breathing exercises, and the use of inhalers such as long-acting ß2 agonist (LABA)/long-acting muscaring antagonist (LAMA) for patients with chronic obstructive pulmonary disease( COPD) are useful.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença Pulmonar Obstrutiva Crônica
/
Neoplasias Pulmonares
Limite:
Aged
/
Aged80
/
Humans
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Japão