Early complications. Respiratory failure.
Pulmonary complications following thoracic surgery are common and associated with significant morbidity and mortality. Respiratory failure after pneumonectomy occurs in approximately 5% to 15% of cases and significantly increases patient mortality. Strategies for ventilator support are based on the nature of the underlying complication and the pathophysiology of respiratory failure. This article describes the cause and pathophysiology of respiratory failure and pulmonary embolus postpneumonectomy. Diagnosis, management, and innovative therapies are also reviewed.
Zwischenberger
J B
JB
Division of Cardiothoracic Surgery, University of Texas Medical Branch, Galveston, USA. jzwische@utmb.edu
Alpard
S K
SK
Bidani
A
A
D006801:Humans; D009360:Neoplastic Cells, Circulating; D011013:Pneumonectomy / Q000009:adverse effects* / Q000401:mortality; D011654:Pulmonary Edema / Q000209:etiology; D011655:Pulmonary Embolism / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000209:etiology; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000401:mortality / Q000503:physiopathology / Q000628:therapy; D015996:Survival Rate