TY - CHAP M1 - Book, Section TI - Acute Respiratory Failure in the Surgical Patient A1 - Kotloff, Robert M. A2 - Grippi, Michael A. A2 - Elias, Jack A. A2 - Fishman, Jay A. A2 - Kotloff, Robert M. A2 - Pack, Allan I. A2 - Senior, Robert M. A2 - Siegel, Mark D. PY - 2015 T2 - Fishman's Pulmonary Diseases and Disorders, 5e AB - Advances in surgical technique, anesthesia and analgesia, and postoperative supportive care have emboldened surgeons to consider an expanding spectrum of patients for surgical interventions. In most instances, the success or failure of the surgery is defined not in the operating room, but postoperatively, when the adverse effects of surgery may first become apparent and when intercurrent complications may jeopardize the patient's recovery. The respiratory system is particularly vulnerable to the effects of general anesthesia and surgery, and postoperative respiratory impairment is common. While generally mild and well tolerated in otherwise healthy, young patients, postoperative respiratory compromise may have serious consequences in the elderly and in patients with pre-existing lung disease. A number of postoperative complications, such as pneumonia, aspiration pneumonitis, and acute respiratory distress syndrome (ARDS) may lead to respiratory compromise independent of the patient's presurgical status. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1122366520 ER -