Respiratory care of older adults after cardiac surgery.
Older adults are at risk for pulmonary complications and prolonged mechanical ventilation after cardiac surgery. A patient-centered conceptualization of ventilatory support provides a framework for preoperative assessment of postoperative management of older adults at risk for postoperative pulmonary complications. Ventilatory support is a dynamic process whereby physiologic, pathophysiologic, and psychosocial patient variables influence and interact with postoperative clinical practice variables. Research-based respiratory care interventions are proposed to improve recovery outcomes in older adults after cardiac surgery.
Bezanson
J
J
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000451:nursing* / Q000523:psychology; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000451:nursing; D012121:Respiration, Artificial / Q000009:adverse effects / Q000451:nursing* / Q000523:psychology; D015300:Ventilator Weaning