title: [Interstitial Pneumonia and Emphysema].
abstract: Interstitial pneumonia (IP) and chronic obstructive pulmonary disease (COPD) are representative diseases of restrictive pulmonary dysfunction and obstructive pulmonary dysfunction, respectively. In the preoperative anesthesia clinic, anesthesiologists are frequently asked to assess the anesthesia management of patients with these diseases. In respiratory function tests, IP is detected as a decrease in % vital capacity (< 80%), and COPD as a decrease in % FEV1.0 (< 70%). Other key factors which affect the assessment are; 1) severity assessment that affects the safety of anesthesia management, 2) prognostic evaluation including the acute exacerbation in the postoperative period, and 3) patient-related factors (age, life degree of autonomy, other comorbidities, surgery-related factors, and anesthesia method). In the patients in the disease stage I or II, anesthesia management is relatively safe. On the other hand, the patients in the disease stage IV have no surgical indication except life-saving emergent situation. In another words, anesthesiologists are required to make the judgment for the anesthesia management of the patient in the disease stage III, based on the assessment of patient-related factors, surgery-related factors, and prognosis.
authors.forename: Teiji
authors.initials: T
authors.lastname: Sawa
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kato
authors.forename: Sachiyo
authors.initials: S
authors.lastname: Ishii
mesh_terms: D000758:Anesthesia; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000503:physiopathology; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology; D011656:Pulmonary Emphysema / Q000503:physiopathology; D012129:Respiratory Function Tests; D012307:Risk Factors