Pulmonary complications in neurosurgical patients

Pulmonary complications are a major cause of morbidity and mortality in neurosurgical patients. The common pulmonary complications in neurosurgical patients include pneumonia, postoperative atelectasis, respiratory failure, pulmonary embolism, and neurogenic pulmonary edema. Postoperative lung expan...

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Main Authors: Randeep Guleria, Karan Madan
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2012-07-01
Series:Indian Journal of Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.102299
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author Randeep Guleria
Karan Madan
author_facet Randeep Guleria
Karan Madan
author_sort Randeep Guleria
collection DOAJ
description Pulmonary complications are a major cause of morbidity and mortality in neurosurgical patients. The common pulmonary complications in neurosurgical patients include pneumonia, postoperative atelectasis, respiratory failure, pulmonary embolism, and neurogenic pulmonary edema. Postoperative lung expansion strategies have been shown to be useful in prevention of the postoperative complications in surgical patients. Low tidal volume ventilation should be used in patients who develop acute respiratory distress syndrome. An antibiotic use policy should be put in practice depending on the local patterns of antimicrobial resistance in the hospital. Thromboprophylactic strategies should be used in nonambulatory patients. Meticulous attention should be paid to infection control with a special emphasis on hand-washing practices. Prevention and timely management of these complications can help to decrease the morbidity and mortality associated with pulmonary complications.
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spelling doaj.art-51efc0b66a2f4d4abdb24abfe83d56552022-12-21T23:44:52ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672012-07-01010217518010.4103/2277-9167.102299Pulmonary complications in neurosurgical patientsRandeep GuleriaKaran MadanPulmonary complications are a major cause of morbidity and mortality in neurosurgical patients. The common pulmonary complications in neurosurgical patients include pneumonia, postoperative atelectasis, respiratory failure, pulmonary embolism, and neurogenic pulmonary edema. Postoperative lung expansion strategies have been shown to be useful in prevention of the postoperative complications in surgical patients. Low tidal volume ventilation should be used in patients who develop acute respiratory distress syndrome. An antibiotic use policy should be put in practice depending on the local patterns of antimicrobial resistance in the hospital. Thromboprophylactic strategies should be used in nonambulatory patients. Meticulous attention should be paid to infection control with a special emphasis on hand-washing practices. Prevention and timely management of these complications can help to decrease the morbidity and mortality associated with pulmonary complications.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.102299neurosurgerypost-operativepulmonary complications
spellingShingle Randeep Guleria
Karan Madan
Pulmonary complications in neurosurgical patients
Indian Journal of Neurosurgery
neurosurgery
post-operative
pulmonary complications
title Pulmonary complications in neurosurgical patients
title_full Pulmonary complications in neurosurgical patients
title_fullStr Pulmonary complications in neurosurgical patients
title_full_unstemmed Pulmonary complications in neurosurgical patients
title_short Pulmonary complications in neurosurgical patients
title_sort pulmonary complications in neurosurgical patients
topic neurosurgery
post-operative
pulmonary complications
url http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.102299
work_keys_str_mv AT randeepguleria pulmonarycomplicationsinneurosurgicalpatients
AT karanmadan pulmonarycomplicationsinneurosurgicalpatients