Revista brasileira de anestesiologia ofﬁcial wwwsbacombr publication of the brazilian society of anesthesiology we review the most relevant aspects of preoperative assessment of the patient with lung disease content: pulmonary risk stratiﬁcation depends on clinical symptoms and patient’s physical particularly when lung resection. A lung segment resection is a surgical procedure that involves the removal of a portion of the lung this type of procedure usually removes more than a wedge resection would but not the entire lobe of the lung. Bronchiectasis may affect many areas of the lung (diffuse bronchiectasis), or it may appear in only 1 or 2 areas (focal bronchiectasis) diffuse bronchiectasis develops most often in patients with genetic, immunologic, or anatomic defects that affect the airways. Tracheobronchial sleeve resection has made great strides as a viable surgical option for patients requiring extensive pulmonary resections the benefits make it a desirable surgical approach for many individuals in whom a larger resection either would not be feasible or would cause significant residual morbidity.
Bacterial colonization of the bronchial tree assessed intraoperatively, appears to be associated with higher rates of infectious and non-infectious complications after pulmonary resection whether early starting of appropriate antibiotics based on intraoperative-taken culture findings will reduce the infectious complication rate in a. Bronchial bacterial colonization may be frequent in patients with lung cancer as most of these patients have underlying copd, which is known to be associated with a high colonization rate for example, monso et al 6 found a colonization rate of 25% in patients with stable copd. Schussler et al described the incidence of postoperative pneumonia to be 2–30% after lung resection, with the independent risk factors of chronic obstructive pulmonary disease, larger extent of resection, presence of intraoperative bronchial colonization and male gender in our study, from 51% to 67% of patients developed postoperative. Abstract background resection is the treatment of choice for lung cancer, but may cause impaired cardiopulmonary function with an adverse effect on quality of life few studies have considered the effects of thoracotomy alone on lung function, and whether the operation itself can impair subsequent exercise capacity.
Conclusions bacterial colonization of the bronchial tree assessed intraoperatively, appears to be associated with higher rates of infectious and non-infectious complications after pulmonary resection. Preoperative pulmonary evaluation for lung resection algorithm for preoperative evaluation of patients for lung resection outline of discussion reduction of pulmonary function after resection preoperative pulmonary evaluation for pulmonary and extrapulmonary operations. Postoperative care of patients undergoing lung resection paolo feltracco, eugenio serra, stefania barbieri, moira milevoj and carlo ori department of pharmacology and anesthesiology, university hospital of padova, 2-35121 padua, italy. Lung resection for pulmonary tuberculosis major surgery all too often, long years are spent in a struggle to obtain control over bilateral lesions, only for defeat to be acknowledged in the end through improved methods of early diagnosis it is to be hoped that fewer cases of disease will be first recognized in the bilateral state. Bronchial colonization profile of patients undergoing lung resection and its impact on infectious complications in the postoperative period is it necessary to evaluate the collection method and risk of contamination introduction: the pattern of bronchial colonization in patients requiring.
After pulmonary resection, patients with lung cancer who have idiopathic pulmonary ﬁbrosis (ipf) have been reported to have higher pulmonary morbidity and mortality and poorer outcomes than patients without ipf however, whether morbidity, mortality, and out. Airway bacterial colonization in patients with non-small cell lung cancer and the alterations during the perioperative period background: to observe the alterations in airway bacterial colonization during the perioperative period in patients with non-small cell lung cancer (nsclc) and evaluate their clinical implications. Approximately 12,000 new cases of soft tissue sarcoma (sts) are diagnosed in the us annually, resulting in nearly 5,000 deaths up to half of sts patients develop one or more lung metastases. Anatomic lung resection was performed in all patients, with 126 lobectomies, 55 segmentectomies, 44 ination, colonization, and true infection can be difﬁcult our experience with anatomic lung resection in patients with pulmonary nontuberculous mycobacterial disease.
Frequency and risk factors for bronchial colonization in lung cancer patients who have undergone surgical resection forty-one patients with resectable lung cancer (22 (54%) active smokers, 52 ¡ 23. The aim of the present study was to identify risk factors for postoperative respiratory infections in patients submitted to pulmonary resection for lung cancer, with special emphasis on perioperative bronchial colonization. Pulmonary complications are often observed during the postoperative period of lung resection for patients with lung cancer some conditions such as intubation , a long stay in the intensive care unit, the high cost of antibiotics and mortality may be avoided with the prevention of postoperative pulmonary complications. Bronchial colonization and complications after lung cancer surgery dio)therapy prior to pulmonary resection has also shown to increase the risk of postoperative pulmonary complica-tions [9–12] resection of the patients with an intraoperative bronchial culture.
Impaired clearance of secretions causes colonization and infection with pathogenic organisms, contributing to the purulent expectoration commonly observed in patients with bronchiectasis the result is further bronchial damage and a vicious cycle of bronchial damage, bronchial dilation, impaired clearance of secretions, recurrent infection, and. Lung resection of a symptomatic intracavitary aspergil- loma is a curative approach but not always feasible in those with compromised pulmonary function and or ex. There are only a few studies that have investigated fungal colonization in the airways of lung cancer patients using bronchial aspirates , bronchoalveolar lavage , sputum or lung tissue all these studies have described fungal positivity as a one-off report or as the result of the immunodepression.