Research progress of measures of postoperative pulmonary complications after abdominal surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Zhiqiang ,  ZHANG Weihui

Department of Minimally Invasive Biliary Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, P. R. China;

Corresponding author：

ZHANG Weihui, Email: zhangweihui626@hotmail.com

Keywords：

postoperative pulmonary complication; perioperative period; abdominal surgery; general surgery

DOI：

10.7507/1007-9424.202012008

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the methods to prevent pulmonary complications in patients underwent abdominal surgery during perioperative period and provide reference for the prevention of postoperative pulmonary complications.Method Literatures on the prevention of pulmonary complications after abdominal surgery were searched and reviewed.Results The prevention of pulmonary complications after abdominal surgery included preoperative measures, intraoperative measures, and postoperative measures. Preoperative measures included preoperative education, patient risk assessment, smoking cessation, and so on. Intraoperative measures included anesthetic measures and surgical measures. Postoperative measures included atomization treatment, elimination of bad feelings, early postoperative activities, and so on. In view of the different basic conditions of patients underwent abdominal surgery, the selection and emphasis of preventive measures were also different.Conclusion The prevention of postoperative pulmonary complications after general abdominal surgery should not only take preventive measures in perioperative period, but also should carry out individual management according to the patient’s condition and general conditions.

Citation： YANG Zhiqiang, ZHANG Weihui. Research progress of measures of postoperative pulmonary complications after abdominal surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(10): 1390-1395. doi: 10.7507/1007-9424.202012008 Copy

1.	Yang CK, Teng A, Lee DY, et al. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res, 2015, 198(2): 441-449.
2.	Chandler D, Mosieri C, Kallurkar A, et al. Perioperative strategies for the reduction of postoperative pulmonary complications. Best Pract Res Clin Anaesthesiol, 2020, 34(2): 153-166.
3.	多学科围手术期气道管理中国专家共识 (2018 版) 专家组. 多学科围手术期气道管理中国专家共识 (2018 版). 中国胸心血管外科临床杂志, 2018, 25(7): 545-549.
4.	中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南 (2018 版). 中国实用外科杂志, 2018, 38(1): 1-20.
5.	Gupta A, Ravaliya V, Mishra D, et al. Assessment of knowledge, attitude, and behavior about the disease process and physiotherapy management in patients with chronic obstructive pulmonary disease: A qualitative study. J Educ Health Promot, 2019, 8: 15.
6.	Boden I, El-Ansary D, Zalucki N, et al. Physiotherapy education and training prior to upper abdominal surgery is memorable and has high treatment fidelity: a nested mixed-methods randomised-controlled study. Physiotherapy, 2018, 104(2): 194-202.
7.	Lakshminarasimhachar A, Smetana GW. Preoperative evaluation: estimation of pulmonary risk. Anesthesiol Clin, 2016, 34(1): 71-88.
8.	Kara S, Küpeli E, Yılmaz HEB, et al. Predicting pulmonary complications following upper and lower abdominal surgery: ASA vs. ARISCAT risk index. Turk J Anaesthesiol Reanim, 2020, 48(2): 96-101.
9.	Fernandes A, Rodrigues J, Lages P, et al. Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: a retrospective observational cohort study. Patient Saf Surg, 2019, 13: 40.
10.	Bevacqua BK. Pre-operative pulmonary evaluation in the patient with suspected respiratory disease. Indian J Anaesth, 2015, 59(9): 542-549.
11.	Turan A, Mascha EJ, Roberman D, et al. Smoking and perioperative outcomes. Anesthesiology, 2011, 114(4): 837-846.
12.	Wong J, Lam DP, Abrishami A, et al. Short-term preoperative smoking cessation and postoperative complications: a systematic review and meta-analysis. Can J Anaesth, 2012, 59(3): 268-279.
13.	魏诗晴, 赖晓全, 韩颖, 等. 术前戒烟时间对术后肺部并发症影响的 Meta 分析. 中华健康管理学杂志, 2018, 12(1): 32-37.
14.	沈季香, 杨丽玉. 探讨胸腔物理治疗对肺部感染病人住院天数、医疗费用之影响. 护理杂志, 2020, 67(2): 58-64.
15.	Kubo T, Osuka A, Kabata D, et al. Chest physical therapy reduces pneumonia following inhalation injury. Burns, 2021, 47(1): 198-205.
16.	Longhini F, Bruni A, Garofalo E, et al. Chest physiotherapy improves lung aeration in hypersecretive critically ill patients: a pilot randomized physiological study. Crit Care, 2020, 24(1): 479.
17.	Kaur R, Dass B, Ejaz AA, et al. Chest physiotherapy in acute muco-obstructive lung disease. Cureus, 2020, 12(2): e7056.
18.	中华医学会麻醉学分会老年人麻醉学组. 慢性阻塞性肺疾病患者非肺部手术麻醉及围手术期管理专家共识. 中华医学杂志, 2017, 97(40): 3128-3139.
19.	Croitoru A, Bogdan MA. Respiratory muscle training in pulmonary rehabilitation. Pneumologia, 2013, 62(3): 166-171.
20.	Hoffman M, Augusto VM, Eduardo DS, et al. Inspiratory muscle training reduces dyspnea during activities of daily living and improves inspiratory muscle function and quality of life in patients with advanced lung disease. Physiother Theory Pract, 2021, 37(8): 895-905.
21.	Mans CM, Reeve JC, Elkins MR. Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing cardiothoracic or upper abdominal surgery: a systematic review and meta analysis. Clin Rehabil, 2015, 29(5): 426-438.
22.	Abid N, Rao AR, Babar MN, et al. Effect of deep breathing exercises in healthy smokers: A pilot study. J Pak Med Assoc, 2020, 70(7): 1209-1213.
23.	秦新裕, 刘凤林. 围手术期静脉血栓栓塞症预防和管理几个关键问题. 中国实用外科杂志, 2017, 37(2): 97-102.
24.	中华医学会外科学分会. 中国普通外科围手术期血栓预防与管理指南. 中国实用外科杂志, 2016, 36(5): 469-474.
25.	Lee CZ, Kao LT, Lin HC, et al. Comparison of clinical outcome between laparoscopic and open right hemicolectomy: a nationwide study. World J Surg Oncol, 2015, 13: 250.
26.	Bablekos GD, Michaelides SA, Analitis A, et al. Effects of laparoscopic cholecystectomy on lung function: a systematic review. World J Gastroenterol, 2014, 20(46): 17603-17617.
27.	Jiang L, Yang KH, Guan QL, et al. Laparoscopy-assisted gastrectomy versus open gastrectomy for resectable gastric cancer: an update meta-analysis based on randomized controlled trials. Surg Endosc, 2013, 27(7): 2466-2480.
28.	Matsuo Y, Nomi T, Hokuto D, et al. Pulmonary complications after laparoscopic liver resection. Surg Endosc, 2021, 35(4): 1659-1666.
29.	Jeong JS, Wi W, Chung YJ, et al. Comparison of perioperative outcomes between pure laparoscopic surgery and open right hepatectomy in living donor hepatectomy: Propensity score matching analysis. Sci Rep, 2020, 10(1): 5314.
30.	Young CC, Harris EM, Vacchiano C, et al. Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations. Br J Anaesth, 2019, 123(6): 898-913.
31.	McLean DJ, Diaz-Gil D, Farhan HN, et al. Dose-dependent association between intermediate-acting neuromuscular-blocking agents and postoperative respiratory complications. Anesthesiology, 2015, 122(6): 1201-1213.
32.	Borghardt JM, Kloft C, Sharma A. Inhaled therapy in respiratory disease: the complex interplay of pulmonary kinetic processes. Can Respir J, 2018, 2018: 2732017.
33.	中华医学会临床药学分会《雾化吸入疗法合理用药专家共识》编写组. 雾化吸入疗法合理用药专家共识 (2019 年版). 医药导报, 2019, 38(2): 135-146.
34.	潘永良. 慢性阻塞性肺病患者应用氨溴索联合布地奈德及复方异丙托溴铵治疗的临床研究. 当代医学, 2020, 26(23): 100-102.
35.	Miskovic A, Lumb AB. Postoperative pulmonary complications. Br J Anaesth, 2017, 118(3): 317-334.
36.	Venara A, Hamel JF, Cotte E, et al. Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database. Surg Endosc, 2020, 34(12): 5583-5592.
37.	Smith PR, Baig MA, Brito V, et al. Postoperative pulmonary complications after laparotomy. Respiration, 2010, 80(4): 269-274.
38.	Nobili C, Marzano E, Oussoultzoglou E, et al. Multivariate analysis of risk factors for pulmonary complications after hepatic resection. Ann Surg, 2012, 255(3): 540-550.
39.	Ichida H, Imamura H, Yoshimoto J, et al. Randomized controlled trial for evaluation of the routine use of nasogastric tube decompression after elective liver surgery. J Gastrointest Surg, 2016, 20(7): 1324-1330.
40.	Bergeat D, Merdrignac A, Robin F, et al. Nasogastric decompression vs no decompression after pancreatico- duodenectomy: The randomized clinical IPOD Trial. JAMA Surg, 2020, 155(9): e202291.
41.	Daryaei P, Vaghef Davari F, Mir M, et al. Omission of nasogastric tube application in postoperative care of esophagectomy. World J Surg, 2009, 33(4): 773-777.
42.	陈钶, 牟一平, 徐晓武, 等. 胃癌根治术后常规留置胃管必要性的荟萃分析. 中华医学杂志, 2012, 92(26): 1841-1844.
43.	Vinay HG, Raza M, Siddesh G. Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial. J Surg Tech Case Rep, 2015, 7(2): 37-41.
44.	Bauer VP. The evidence against prophylactic nasogastric intubation and oral restriction. Clin Colon Rectal Surg, 2013, 26(3): 182-185.
45.	Tinsley MH, Barone CP. Preventing postoperative nausea and vomiting: refresh your knowledge of how to recognize and respond to this common complication. Plast Surg Nurs, 2012, 32(3): 106-111.
46.	Barnes J. Postoperative nausea and vomiting. Br J Hosp Med (Lond), 2020, 81(1): 1-3.
47.	Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
48.	中华医学会麻醉学分会. 成人手术后疼痛处理专家共识. 临床麻醉学杂志, 2017, 33(9): 911-917.
49.	Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain, 2016, 17(2): 131-157.
50.	Haines KJ, Skinner EH, Berney S, et al. Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study. Physiotherapy, 2013, 99(2): 119-125.
51.	van der Leeden M, Huijsmans R, Geleijn E, et al. Early enforced mobilisation following surgery for gastrointestinal cancer: feasibility and outcomes. Physiotherapy, 2016, 102(1): 103-110.
52.	Castelino T, Fiore JF, Niculiseanu P, et al. The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: A systematic review. Surgery, 2016, 159(4): 991-1003.
53.	Balvardi S, Pecorelli N, Castelino T, et al. Impact of facilitation of early mobilization on postoperative pulmonary outcomes after colorectal surgery: A randomized controlled trial. Ann Surg, 2021, 273(5): 868-875.
54.	Scharfenberg M, Raue W, Junghans T, et al. “Fast-track” rehabilitation after colonic surgery in elderly patients—is it feasible? Int J Colorectal Dis, 2007, 22(12): 1469-1474.

1. Yang CK, Teng A, Lee DY, et al. Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res, 2015, 198(2): 441-449.
2. Chandler D, Mosieri C, Kallurkar A, et al. Perioperative strategies for the reduction of postoperative pulmonary complications. Best Pract Res Clin Anaesthesiol, 2020, 34(2): 153-166.
3. 多学科围手术期气道管理中国专家共识 (2018 版) 专家组. 多学科围手术期气道管理中国专家共识 (2018 版). 中国胸心血管外科临床杂志, 2018, 25(7): 545-549.
4. 中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南 (2018 版). 中国实用外科杂志, 2018, 38(1): 1-20.
5. Gupta A, Ravaliya V, Mishra D, et al. Assessment of knowledge, attitude, and behavior about the disease process and physiotherapy management in patients with chronic obstructive pulmonary disease: A qualitative study. J Educ Health Promot, 2019, 8: 15.
6. Boden I, El-Ansary D, Zalucki N, et al. Physiotherapy education and training prior to upper abdominal surgery is memorable and has high treatment fidelity: a nested mixed-methods randomised-controlled study. Physiotherapy, 2018, 104(2): 194-202.
7. Lakshminarasimhachar A, Smetana GW. Preoperative evaluation: estimation of pulmonary risk. Anesthesiol Clin, 2016, 34(1): 71-88.
8. Kara S, Küpeli E, Yılmaz HEB, et al. Predicting pulmonary complications following upper and lower abdominal surgery: ASA vs. ARISCAT risk index. Turk J Anaesthesiol Reanim, 2020, 48(2): 96-101.
9. Fernandes A, Rodrigues J, Lages P, et al. Root causes and outcomes of postoperative pulmonary complications after abdominal surgery: a retrospective observational cohort study. Patient Saf Surg, 2019, 13: 40.
10. Bevacqua BK. Pre-operative pulmonary evaluation in the patient with suspected respiratory disease. Indian J Anaesth, 2015, 59(9): 542-549.
11. Turan A, Mascha EJ, Roberman D, et al. Smoking and perioperative outcomes. Anesthesiology, 2011, 114(4): 837-846.
12. Wong J, Lam DP, Abrishami A, et al. Short-term preoperative smoking cessation and postoperative complications: a systematic review and meta-analysis. Can J Anaesth, 2012, 59(3): 268-279.
13. 魏诗晴, 赖晓全, 韩颖, 等. 术前戒烟时间对术后肺部并发症影响的 Meta 分析. 中华健康管理学杂志, 2018, 12(1): 32-37.
14. 沈季香, 杨丽玉. 探讨胸腔物理治疗对肺部感染病人住院天数、医疗费用之影响. 护理杂志, 2020, 67(2): 58-64.
15. Kubo T, Osuka A, Kabata D, et al. Chest physical therapy reduces pneumonia following inhalation injury. Burns, 2021, 47(1): 198-205.
16. Longhini F, Bruni A, Garofalo E, et al. Chest physiotherapy improves lung aeration in hypersecretive critically ill patients: a pilot randomized physiological study. Crit Care, 2020, 24(1): 479.
17. Kaur R, Dass B, Ejaz AA, et al. Chest physiotherapy in acute muco-obstructive lung disease. Cureus, 2020, 12(2): e7056.
18. 中华医学会麻醉学分会老年人麻醉学组. 慢性阻塞性肺疾病患者非肺部手术麻醉及围手术期管理专家共识. 中华医学杂志, 2017, 97(40): 3128-3139.
19. Croitoru A, Bogdan MA. Respiratory muscle training in pulmonary rehabilitation. Pneumologia, 2013, 62(3): 166-171.
20. Hoffman M, Augusto VM, Eduardo DS, et al. Inspiratory muscle training reduces dyspnea during activities of daily living and improves inspiratory muscle function and quality of life in patients with advanced lung disease. Physiother Theory Pract, 2021, 37(8): 895-905.
21. Mans CM, Reeve JC, Elkins MR. Postoperative outcomes following preoperative inspiratory muscle training in patients undergoing cardiothoracic or upper abdominal surgery: a systematic review and meta analysis. Clin Rehabil, 2015, 29(5): 426-438.
22. Abid N, Rao AR, Babar MN, et al. Effect of deep breathing exercises in healthy smokers: A pilot study. J Pak Med Assoc, 2020, 70(7): 1209-1213.
23. 秦新裕, 刘凤林. 围手术期静脉血栓栓塞症预防和管理几个关键问题. 中国实用外科杂志, 2017, 37(2): 97-102.
24. 中华医学会外科学分会. 中国普通外科围手术期血栓预防与管理指南. 中国实用外科杂志, 2016, 36(5): 469-474.
25. Lee CZ, Kao LT, Lin HC, et al. Comparison of clinical outcome between laparoscopic and open right hemicolectomy: a nationwide study. World J Surg Oncol, 2015, 13: 250.
26. Bablekos GD, Michaelides SA, Analitis A, et al. Effects of laparoscopic cholecystectomy on lung function: a systematic review. World J Gastroenterol, 2014, 20(46): 17603-17617.
27. Jiang L, Yang KH, Guan QL, et al. Laparoscopy-assisted gastrectomy versus open gastrectomy for resectable gastric cancer: an update meta-analysis based on randomized controlled trials. Surg Endosc, 2013, 27(7): 2466-2480.
28. Matsuo Y, Nomi T, Hokuto D, et al. Pulmonary complications after laparoscopic liver resection. Surg Endosc, 2021, 35(4): 1659-1666.
29. Jeong JS, Wi W, Chung YJ, et al. Comparison of perioperative outcomes between pure laparoscopic surgery and open right hepatectomy in living donor hepatectomy: Propensity score matching analysis. Sci Rep, 2020, 10(1): 5314.
30. Young CC, Harris EM, Vacchiano C, et al. Lung-protective ventilation for the surgical patient: international expert panel-based consensus recommendations. Br J Anaesth, 2019, 123(6): 898-913.
31. McLean DJ, Diaz-Gil D, Farhan HN, et al. Dose-dependent association between intermediate-acting neuromuscular-blocking agents and postoperative respiratory complications. Anesthesiology, 2015, 122(6): 1201-1213.
32. Borghardt JM, Kloft C, Sharma A. Inhaled therapy in respiratory disease: the complex interplay of pulmonary kinetic processes. Can Respir J, 2018, 2018: 2732017.
33. 中华医学会临床药学分会《雾化吸入疗法合理用药专家共识》编写组. 雾化吸入疗法合理用药专家共识 (2019 年版). 医药导报, 2019, 38(2): 135-146.
34. 潘永良. 慢性阻塞性肺病患者应用氨溴索联合布地奈德及复方异丙托溴铵治疗的临床研究. 当代医学, 2020, 26(23): 100-102.
35. Miskovic A, Lumb AB. Postoperative pulmonary complications. Br J Anaesth, 2017, 118(3): 317-334.
36. Venara A, Hamel JF, Cotte E, et al. Intraoperative nasogastric tube during colorectal surgery may not be mandatory: a propensity score analysis of a prospective database. Surg Endosc, 2020, 34(12): 5583-5592.
37. Smith PR, Baig MA, Brito V, et al. Postoperative pulmonary complications after laparotomy. Respiration, 2010, 80(4): 269-274.
38. Nobili C, Marzano E, Oussoultzoglou E, et al. Multivariate analysis of risk factors for pulmonary complications after hepatic resection. Ann Surg, 2012, 255(3): 540-550.
39. Ichida H, Imamura H, Yoshimoto J, et al. Randomized controlled trial for evaluation of the routine use of nasogastric tube decompression after elective liver surgery. J Gastrointest Surg, 2016, 20(7): 1324-1330.
40. Bergeat D, Merdrignac A, Robin F, et al. Nasogastric decompression vs no decompression after pancreatico- duodenectomy: The randomized clinical IPOD Trial. JAMA Surg, 2020, 155(9): e202291.
41. Daryaei P, Vaghef Davari F, Mir M, et al. Omission of nasogastric tube application in postoperative care of esophagectomy. World J Surg, 2009, 33(4): 773-777.
42. 陈钶, 牟一平, 徐晓武, 等. 胃癌根治术后常规留置胃管必要性的荟萃分析. 中华医学杂志, 2012, 92(26): 1841-1844.
43. Vinay HG, Raza M, Siddesh G. Elective bowel surgery with or without prophylactic nasogastric decompression: A prospective, randomized trial. J Surg Tech Case Rep, 2015, 7(2): 37-41.
44. Bauer VP. The evidence against prophylactic nasogastric intubation and oral restriction. Clin Colon Rectal Surg, 2013, 26(3): 182-185.
45. Tinsley MH, Barone CP. Preventing postoperative nausea and vomiting: refresh your knowledge of how to recognize and respond to this common complication. Plast Surg Nurs, 2012, 32(3): 106-111.
46. Barnes J. Postoperative nausea and vomiting. Br J Hosp Med (Lond), 2020, 81(1): 1-3.
47. Gan TJ, Belani KG, Bergese S, et al. Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2020, 131(2): 411-448.
48. 中华医学会麻醉学分会. 成人手术后疼痛处理专家共识. 临床麻醉学杂志, 2017, 33(9): 911-917.
49. Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain, 2016, 17(2): 131-157.
50. Haines KJ, Skinner EH, Berney S, et al. Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study. Physiotherapy, 2013, 99(2): 119-125.
51. van der Leeden M, Huijsmans R, Geleijn E, et al. Early enforced mobilisation following surgery for gastrointestinal cancer: feasibility and outcomes. Physiotherapy, 2016, 102(1): 103-110.
52. Castelino T, Fiore JF, Niculiseanu P, et al. The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: A systematic review. Surgery, 2016, 159(4): 991-1003.
53. Balvardi S, Pecorelli N, Castelino T, et al. Impact of facilitation of early mobilization on postoperative pulmonary outcomes after colorectal surgery: A randomized controlled trial. Ann Surg, 2021, 273(5): 868-875.
54. Scharfenberg M, Raue W, Junghans T, et al. “Fast-track” rehabilitation after colonic surgery in elderly patients—is it feasible? Int J Colorectal Dis, 2007, 22(12): 1469-1474.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Research progress of measures of postoperative pulmonary complications after abdominal surgery

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