title: [Respiratory preparation before surgery in patients with chronic respiratory failure].
abstract: Scheduled and/or thoracic, abdominal surgeries increase the risk of respiratory postoperative complications. In patients with chronic respiratory failure, preoperative evaluation should be performed to evaluate respiratory function in aim to optimize perioperative management. Preoperative gas exchange abnormalities (hypoxemia or hypercapnia) are associated with respiratory postoperative complications. Respiratory physiotherapy and prophylactic non-invasive ventilation should be integrated in a global rehabilitation management for cardiothoracic or abdominal surgery procedures, which are at high risk of postoperative respiratory dysfunction. Stopping tobacco consummation should be benefit, but decease risk of postoperative complications is relevant only after a period for 6 to 8 weeks of cessation. Bronchodilatator aerosol therapy (beta-agonists and atropinics) and inhaled corticotherapy allow a rapid preparation for 24 to 48 h. Systematic preoperative antibiotherapy should not be recommended.
authors: CHU de Montpellier, hôpital Saint-Éloi, département d'anesthésie-réanimation Saint-Éloi (DAR B), 34295 Montpellier, France.
authors: Jean-Marc
authors: JM
authors: Delay
authors: Samir
authors: S
authors: Jaber
mesh_terms: D000005:Abdomen / Q000601:surgery; D000328:Adult; D000465:Algorithms; D000698:Analgesia / Q000009:adverse effects; D000758:Anesthesia / Q000009:adverse effects; D002908:Chronic Disease; D006801:Humans; D010149:Postoperative Pain / Q000150:complications / Q000503:physiopathology; D011013:Pneumonectomy / Q000009:adverse effects / Q000534:rehabilitation; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care / Q000379:methods*; D012131:Respiratory Insufficiency / Q000534:rehabilitation / Q000628:therapy*; D012138:Respiratory Therapy / Q000379:methods / Q000592:standards; D016540:Smoking Cessation; D019616:Thoracic Surgical Procedures / Q000009:adverse effects*; D013997:Time Factors