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10.4103/0019-5049.165858

http://scihub22266oqcxt.onion/10.4103/0019-5049.165858
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C4613401!4613401 !26556913
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suck abstract from ncbi


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pmid26556913
      Indian+J+Anaesth 2015 ; 59 (9 ): 550-6
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  • Pre-operative optimisation of lung function #MMPMID26556913
  • Azhar N
  • Indian J Anaesth 2015[Sep]; 59 (9 ): 550-6 PMID26556913 show ga
  • The anaesthetic management of patients with pre-existing pulmonary disease is a challenging task. It is associated with increased morbidity in the form of post-operative pulmonary complications. Pre-operative optimisation of lung function helps in reducing these complications. Patients are advised to stop smoking for a period of 4-6 weeks. This reduces airway reactivity, improves mucociliary function and decreases carboxy-haemoglobin. The widely used incentive spirometry may be useful only when combined with other respiratory muscle exercises. Volume-based inspiratory devices have the best results. Pharmacotherapy of asthma and chronic obstructive pulmonary disease must be optimised before considering the patient for elective surgery. Beta 2 agonists, inhaled corticosteroids and systemic corticosteroids, are the main drugs used for this and several drugs play an adjunctive role in medical therapy. A graded approach has been suggested to manage these patients for elective surgery with an aim to achieve optimal pulmonary function.
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