[Surgically relevant comorbidity: lung function].
The risk of surgical procedures is strongly affected by coexisting pulmonary disease. Patient related risk factors for pulmonary disorders in the perioperative period are poor medical condition, old age, obesity, smoking, COPD, and bronchial asthma. Thoracic surgery and upper abdominal surgery are the most important procedure related risk factors for pulmonary complications in the perioperative period. Preoperative evaluation of lung function, assessment of the perioperative pulmonary risk, identification of high risk patients, and preoperative improvement of lung function, if possible, result in an improved outcome of surgical procedures due to a reduction of perioperative pulmonary complications.
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Klinik für Anaesthesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg.
D015897:Comorbidity; D005541:Forced Expiratory Volume / Q000502:physiology; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000503:physiopathology; D012016:Reference Values; D018570:Risk Assessment