Abstract：
:Pulmonary complications after hepatectomy occur with relative frequency and are associated with increased morbidity and mortality. Moreover, their prevention is often difficult. We report using prophylactic bilevel positive airway pressure ventilation, initiated just after the operation, for the successful postoperative respiratory management of three patients predisposed to the development of pulmonary complications. One patient had insufficient pulmonary function (forced expiratory volume in 1 s (FEV(1)) 0.95 l; FEV(1)/forced vital capacity 40.8%) caused by previous thoracoplasty. The other two patients were obese and had obstructive sleep apnea syndrome (OSAS). None of the patients required endotracheal intubation after hepatectomy, although the two with severe OSAS suffered pulmonary thromboembolism postoperatively. Bilevel positive airway pressure ventilation was well tolerated and there were no adverse effects, suggesting its effectiveness for preventing pulmonary complications after hepatectomy.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Narita M,Hatano E,Nagata H,Yanagida A,Asechi H,Takahashi K,Ikai I,Uemoto S,Chin Kdoi
10.1007/s00595-008-3815-6subject
Has Abstractpub_date
2009-01-01 00:00:00pages
172-4issue
2eissn
0941-1291issn
1436-2813journal_volume
39pub_type
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