Postoperative pulmonary complication rate and long-term changes in respiratory function following esophagectomy with esophagogastrostomy.

Abstract:

:Upper abdominal surgery has a high incidence of postoperative respiratory complications. Although operations involving a thoracic as well as an upper abdominal incision as encountered in esophageal surgery are likely to be associated with an even higher complication rate and perhaps permanent alterations of respiratory function, only a few studies have addressed this problem. We evaluated the postoperative course of patients undergoing thoracoabdominal esophagectomy with esophagogastrostomy. Twenty patients were evaluated, of whom 10 (50%) developed respiratory complications as defined by our criteria, which were the simultaneous occurrence of rectal temperature over 38 degrees C on the first postoperative day and radiographic evidence of pulmonary infiltration. Although there is no general consensus regarding the diagnostic criteria of a postoperative pulmonary complication, we were able to validate the clinical relevance of our definition by showing that these patients suffered from a more severe and more prolonged impairment of global oxygen exchange than those who did not fulfill the criteria. They also required a longer period of respiratory support (median duration of intubation 12 vs. 3 days, P less than 0.005). A comparison of the preoperative pulmonary function with that determined at least 6 months after the operation showed that only vital capacity (VC) and total lung capacity (TLC) were significantly (P less than 0.05) reduced following the operation, but not to a clinically relevant degree (VC-6%, TLC-7%).

authors

Crozier TA,Sydow M,Siewert JR,Braun U

doi

10.1111/j.1399-6576.1992.tb03414.x

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

10-5

issue

1

eissn

0001-5172

issn

1399-6576

journal_volume

36

pub_type

杂志文章
  • Intrathecal ropivacaine 5 mg/ml for outpatient knee arthroscopy: a comparison with lidocaine 10 mg/ml.

    abstract:PURPOSE:The aim of this prospective, randomised, blind study was to compare the evolution of spinal block produced with 50 mg lidocaine 10 mg/ml and 10 mg ropivacaine 5 mg/ml for outpatient knee arthroscopy. METHODS:Thirty outpatients undergoing knee arthroscopy received 50 mg of lidocaine 10 mg/ml (n=15) or 10 mg of ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2008.01815.x

    authors: Fanelli G,Danelli G,Zasa M,Baciarello M,Di Cianni S,Leone S

    更新日期:2009-01-01 00:00:00

  • Comparison of continuous epidural infusion of morphine/bupivacaine with fentanyl/bupivacaine for postoperative pain relief.

    abstract::The efficacy and safety of postoperative analgesia with continuous epidural infusion of either morphine or fentanyl in combination with bupivacaine were evaluated in 85 patients, ASA physical status I or II, undergoing thoracic and/or upper abdominal surgery. Patients were treated with one of the combinations for 48 h...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1994.tb03915.x

    authors: Saito Y,Uchida H,Kaneko M,Nakatani T,Kosaka Y

    更新日期:1994-05-01 00:00:00

  • Adjusting positive end-expiratory pressure and tidal volume in acute respiratory distress syndrome according to the pressure-volume curve.

    abstract:BACKGROUND:Management of acute respiratory distress syndrome (ARDS) patients implies the selection of the adequate ventilatory parameters, essentially PEEP and tidal volume (Vt), to prevent ventilator-induced lung injury. These parameters should be reset as the lung injury evolves. Among the different methods proposed ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.2003.00011.x

    authors: Pestaña D,Hernández-Gancedo C,Royo C,Uña R,Villagrán MJ,Peña N,Criado A

    更新日期:2003-03-01 00:00:00

  • Measurement of acceleration: a new method of monitoring neuromuscular function.

    abstract::A new method for monitoring neuromuscular function based on measurement of acceleration is presented. The rationale behind the method is Newton's second law, stating that the acceleration is directly proportional to the force. For measurement of acceleration, a piezo-electric ceramic wafer was used. When this piezo el...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1988.tb02686.x

    authors: Viby-Mogensen J,Jensen E,Werner M,Nielsen HK

    更新日期:1988-01-01 00:00:00

  • Percutaneous dilatational tracheostomy versus conventional surgical tracheostomy. A clinical randomised study.

    abstract:BACKGROUND:As no clinical randomised studies have previously been performed comparing complications with the Ciaglia Percutaneous Dilatational Tracheostomy Introducer Set (PDT) and conventional surgical tracheostomy (TR), we designed a study with the aim of comparing the efficacy and safety of the two techniques. METH...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1998.tb05164.x

    authors: Holdgaard HO,Pedersen J,Jensen RH,Outzen KE,Midtgaard T,Johansen LV,Møller J,Paaske PB

    更新日期:1998-05-01 00:00:00

  • Fluid filtration and vascular compliance during cardiopulmonary bypass: effects of two volatile anesthetics.

    abstract:BACKGROUND:As intraoperative fluid accumulation may negatively impact post-operative organ function, strategies minimizing edema generation should be sought for. During general anesthesia, isoflurane in contrast to sevoflurane has been associated with increased fluid extravasation and edema generation. In this study, w...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12725

    authors: Svendsen ØS,Elvevoll B,Mongstad A,Stangeland LB,Kvalheim VL,Husby P

    更新日期:2016-08-01 00:00:00

  • Effects of halothane, isoflurane, and sevoflurane on lipid peroxidation following experimental closed head trauma in rats.

    abstract:BACKGROUND:In a rat closed head trauma model we examined both the time course of lipid peroxidation and the effects of halothane, isoflurane, and sevoflurane on it by analysis of malondialdehyde (MDA) formation. METHODS:Animals were divided randomly into five groups: sham-operated (SO), n=18; control-closed head traum...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2008.01635.x

    authors: Yurdakoc A,Gunday I,Memiş D

    更新日期:2008-05-01 00:00:00

  • Intravenous sedation for retrobulbar injection and eye surgery: diazepam and/or propofol?

    abstract::Principle goals of sedation for eye surgery are to provide patient comfort and to allow the patient to stay calm during both retrobulbar injection and surgery. Insufficient sedation may not prevent the patient from moving during retrobulbar injection, whereas very deep sedation may result in respiratory complications ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1996.tb04388.x

    authors: Hampl KF,Marsch SC,Erb T,Drewe J,Schneider MC

    更新日期:1996-01-01 00:00:00

  • Severe complications associated with epidural and spinal anaesthesias in Finland 1987-1993. A study based on patient insurance claims [see comment].

    abstract:BACKGROUND:The Patient Injury Act has been in effect in Finland since 1 May 1987. This legislation is a no-fault compensation scheme and implies that if a patient during the course of medical treatment suffers any injury as a result of that treatment he or she may file a claim to the Patient Insurance Association (PIA)...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04722.x

    authors: Aromaa U,Lahdensuu M,Cozanitis DA

    更新日期:1997-04-01 00:00:00

  • Effects of halothane, isoflurane and sevoflurane on ischemia-reperfusion injury in the perfused liver of fasted rats.

    abstract:BACKGROUND:Although intraoperative ischemia-reperfusion of the liver generally occurs under general anesthesia, little is known about the direct effect of anesthetic agents on hepatic injury due to this phenomenon. The effect of volatile anesthetics on ischemia-reperfusion injury was studied using isolated liver perfus...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1996.tb05558.x

    authors: Imai M,Kon S,Inaba H

    更新日期:1996-11-01 00:00:00

  • Hypophosphatemia and duration of respiratory failure and mortality in critically ill patients.

    abstract:BACKGROUND:Hypophosphatemia has been associated with prolonged duration of respiratory failure and increased mortality in critically ill patients, but there is very limited evidence supporting the negative effects of low phosphate. We examined the association between hypophosphatemia at ICU admission and time to succes...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13136

    authors: Federspiel CK,Itenov TS,Thormar K,Liu KD,Bestle MH

    更新日期:2018-04-23 00:00:00

  • Losartan increases renal blood flow during isoflurane anesthesia in sheep.

    abstract:BACKGROUND:Inhaled anesthetics cause a transient reversible depression of renal function by direct renal effects or indirectly by changes in neurohumoral systems or cardiovascular performance. When the sympathetic nervous activity is decreased during anesthesia, other vasoactive systems like vasopressin (AVP) and parti...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.450919.x

    authors: Ullman J,Eriksson S,Rundgren M

    更新日期:2001-10-01 00:00:00

  • Importance of using proper techniques to teach cardiopulmonary resuscitation to laymen.

    abstract::Immediate attempts to resuscitate patients with cardiac arrest by lay bystanders distinctly increase the chances of survival in such patients. In the present study we investigated possibilities of intensifying the cardiopulmonary resuscitation (CPR) training of laymen. A group of 46 young conscripts (test group) was g...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1979.tb01445.x

    authors: Korttila K,Vertio H,Savolainen K

    更新日期:1979-06-01 00:00:00

  • Comparison of propofol and the combination of propofol and alfentanil during bronchoscopy: a randomized study.

    abstract:BACKGROUND:propofol is an excellent sedative agent for use in patients undergoing bronchoscopy. The addition of an opioid to propofol can be advantageous because of the antitussive effect of the opioid and the possible improvement in sedation quality. However, it may increase the risk of hypoxaemia. To investigate the ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2010.02336.x

    authors: Yoon HI,Kim JH,Lee JH,Park S,Lee CT,Hwang JY,Nahm SF,Han S

    更新日期:2011-01-01 00:00:00

  • Use of the bispectral index to predict a positive awareness reaction to laryngeal mask airway-Fastrach insertion and intubation.

    abstract:AIM:To determine whether the bispectral index (BIS) can be monitored to predict and indicate an awareness reaction to laryngeal mask airway-Fastrach (LMA-Fastrach) insertion and intubation at BIS values between 40 and 60. METHODS:Fifty-one American Society of Anesthesiologists' (ASA) class I or II status patients aged...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01441.x

    authors: Kocaman Akbay B,Demiraran Y,Yalcin Sezen G,Akcali G,Somunkiran A

    更新日期:2007-11-01 00:00:00

  • Effect of nicotine dependence on opioid requirements of patients after thoracic surgery.

    abstract:BACKGROUND:This retrospective study investigated the effect of nicotine dependence on required postoperative opioid administration in patients undergoing thoracic surgery. METHODS:The subjects consisted of 215 male patients (112 nonsmokers, 103 smokers) who underwent thoracic surgery and received postoperative patient...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12430

    authors: Yu A,Cai X,Zhang Z,Shi H,Liu D,Zhang P,Fu Z

    更新日期:2015-01-01 00:00:00

  • Major complications after 400 continuous popliteal sciatic nerve blocks for post-operative analgesia.

    abstract:BACKGROUND:A continuous popliteal sciatic nerve block (CPSNB) has been performed with increasing frequency for post-operative analgesia after foot surgery. Major complications associated with the placement of a perineural catheter remain rarely studied. The aim of this study was to prospectively determine the incidence...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1399-6576.2008.01849.x

    authors: Compère V,Rey N,Baert O,Ouennich A,Fourdrinier V,Roussignol X,Beccari R,Dureuil B

    更新日期:2009-03-01 00:00:00

  • Reversal of postoperative somnolence using a two-rate infusion of physostigmine.

    abstract::In order to antagonize immediate postoperative somnolence, 24 surgical patients were given a two-rate infusion of physostigmine, aiming at a constant plasma concentration in the range of 1 to 10 ng/ml. Plasma concentrations of physostigmine were determined during infusion and after infusion and the effects of physosti...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1989.tb02991.x

    authors: Hartvig P,Lindström B,Pettersson E,Wiklund L

    更新日期:1989-11-01 00:00:00

  • Intestinal and hepatic perfusion and metabolism in hypodynamic endotoxic shock. Effects of nitric oxide synthase inhibition.

    abstract:BACKGROUND:Inhibition of nitric oxide synthase (NOS) has been claimed to be beneficial in septic shock. We investigated the overall and regional effects of a NOS-inhibitor on perfusion and metabolism during severe endotoxic shock. METHODS:Nineteen anaesthetised pigs were catheterised and ultrasonic flow-probes were pl...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.1999.430113.x

    authors: Dahm PL,Thörne J,Myhre E,Grins E,Mårtensson L,Blomquist S

    更新日期:1999-01-01 00:00:00

  • Postischaemic regional microvascular variations in the porcine renal cortex.

    abstract::Regional microcirculatory differences in the superficial renal cortex were studied before and during 4 h following 60 min of renal ischaemia in seven pigs under continuous intravenous chlormethiazole-pancuronium anaesthesia. Superficial renal cortical blood flow (Qsrc) was measured by laser Doppler flowmetry (LDF) in ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1991.tb03332.x

    authors: Sandin R,Feuk U,Modig J

    更新日期:1991-08-01 00:00:00

  • Left ventricular dysfunction after non-cardiac surgical procedures in patients with ischemic heart disease.

    abstract::In order to demonstrate the presence of postischemic ventricular dysfunction after non-cardiac surgical procedures, myocardial perfusion scintigraphy with thallium 201 and radionuclide ventriculography were performed before and 24 h after intervention in 20 patients suffering from angina pectoris. A long-term ECG reco...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1985.tb02304.x

    authors: Coriat P,Fauchet M,Bousseau D,Mundler O,Rous AC,Echter E,Viars P

    更新日期:1985-11-01 00:00:00

  • Is development of hyperalgesia, allodynia and myoclonus related to morphine metabolism during long-term administration? Six case histories.

    abstract:BACKGROUND:Recently, clinical reports have suggested a relationship between the occurrence of hyperalgesia, allodynia and/or myoclonus and treatment with high doses of morphine in humans. Although few clinical descriptions of these phenomena are available, experimental work supports the notion that high doses of morphi...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1998.tb05378.x

    authors: Sjøgren P,Thunedborg LP,Christrup L,Hansen SH,Franks J

    更新日期:1998-10-01 00:00:00

  • Necrotizing soft tissue infections - a multicentre, prospective observational study (INFECT): protocol and statistical analysis plan.

    abstract:BACKGROUND:The INFECT project aims to advance our understanding of the pathophysiological mechanisms in necrotizing soft tissue infections (NSTIs). The INFECT observational study is part of the INFECT project with the aim of studying the clinical profile of patients with NSTIs and correlating these to patient-important...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,多中心研究

    doi:10.1111/aas.13024

    authors: Madsen MB,Skrede S,Bruun T,Arnell P,Rosén A,Nekludov M,Karlsson Y,Bergey F,Saccenti E,Martins Dos Santos VAP,Perner A,Norrby-Teglund A,Hyldegaard O

    更新日期:2018-02-01 00:00:00

  • Hemodynamics and oxygen transport after partial and total blood exchange with pyridoxalated polyhemoglobin in dogs.

    abstract::The effects of a pyridoxalated polyhemoglobin solution (SFH-PLP)n-solution) on cardiovascular hemodynamics and oxygen transport were investigated in a model of partial and total blood exchange in seven dogs. Cardiac output, mean arterial pressure and heart rate were essentially unchanged, even after total blood exchan...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1985.tb02249.x

    authors: Hobbhahn J,Vogel H,Kothe N,Brendel W,Peter K,Jesch F

    更新日期:1985-07-01 00:00:00

  • Evaluation of a recruitment maneuver with positive inspiratory pressure and high PEEP in patients with severe ARDS.

    abstract:BACKGROUND:To evaluate the effect of a recruitment maneuver (RM) with constant positive inspiratory pressure and high positive end-expiratory pressure (PEEP) on oxygenation and static compliance (Cs) in patients with severe acute respiratory distress syndrome (ARDS). METHODS:Eight patients with ARDS ventilated with lu...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.0001-5172.2004.0305.x

    authors: Póvoa P,Almeida E,Fernandes A,Mealha R,Moreira P,Sabino H

    更新日期:2004-03-01 00:00:00

  • Effects of intrathecal bupivacaine in conjunction with hypothermia on neuronal protection against transient spinal cord ischemia in rats.

    abstract:BACKGROUND:Excitotoxic neuronal injury from ischemia may be reduced by local anesthetics. We investigated the neuroprotective effects of intrathecally administered bupivacaine and hypothermia in a rat model of transient spinal cord ischemia. METHODS:PE-10 intrathecal catheter-implanted male Sprague-Dawley rats were ra...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01163.x

    authors: Lee JR,Han SM,Leem JG,Hwang SJ

    更新日期:2007-01-01 00:00:00

  • From intracranial pressure to intracranial pressure wave-guided intensive care management of a patient with an aneurysmal subarachnoid haemorrhage.

    abstract::We report on a 65-year-old female with an aneurysmal subarachnoid hemorrhage (SAH) that was followed clinically, radiologically and electrophysiologically before and after converting from intracranial pressure (ICP)-guided to ICP wave-guided intensive care management. Intracranial pressure-guided management is aimed a...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01269.x

    authors: Eide PK,Sorteberg W,Meling T,Jörum E,Hald J,Stubhaug A

    更新日期:2007-04-01 00:00:00

  • Referral and treatment patterns for complex regional pain syndrome in the Netherlands.

    abstract:BACKGROUND:Patients with complex regional pain syndrome (CRPS) are seen and treated by a variety of physicians. The present study aims to describe referral and treatment patterns for CRPS patients in the Netherlands. METHODS:Patients, who were selected (1996-2005) from an electronic general practice (GP) database (Int...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2009.01927.x

    authors: DE Mos M,Huygen FJ,VAN DER Hoeven-Borgman M,Dieleman JP,Stricker BH,Sturkenboom MC

    更新日期:2009-07-01 00:00:00

  • Intravenous glucose-insulin-potassium during off-pump coronary artery bypass surgery does not reduce myocardial injury.

    abstract:BACKGROUND:This randomized, double-blind, placebo-controlled study was designed to determine whether an intra-operative, intravenous infusion of glucose-insulin-potassium (GIK) could be helpful in the prevention of myocardial ischemia and in the maintenance of intra-operative cardiac performance in patients undergoing ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2006.01115.x

    authors: Shim YH,Kweon TD,Lee JH,Nam SB,Kwak YL

    更新日期:2006-09-01 00:00:00

  • Prevalence of self-reported neuropathic pain and impact on quality of life: a prospective representative survey.

    abstract:BACKGROUND:Data on the incidence of neuropathic pain (NeP) in Austria, its general characteristics and consequences for the quality of life (QOL) are still lacking. The prevalence in the United Kingdom is 8%. METHODS:A representative survey (n=7707) was carried out. Patients with NeP were identified using previously v...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01486.x

    authors: Gustorff B,Dorner T,Likar R,Grisold W,Lawrence K,Schwarz F,Rieder A

    更新日期:2008-01-01 00:00:00