Abstract：
INTRODUCTION:Obesity has been associated with respiratory complications, and the majority of these complications occur in the Post-Anesthesia Care Unit (PACU). The aim of this study was to evaluate the outcome and incidence of adverse respiratory events (AREs) in obese patients during their stay in the PACU METHODS: We conducted a prospective control study that included 27 obese patients matched with an equal number of patients with body mass index (BMI)<30 (non-obese control group); the 2 groups of patients were similar in respect to gender distribution, age, and type of surgery and had been admitted into the PACU after elective surgery (May 2011). The AREs were identified during PACU stay. Descriptive analysis of variables was performed, and the Mann-Whitney U test, Chi-square test, or Fisher's exact test were used for comparisons. Associations with AREs were studied using univariate and multivariate logistic regression models. RESULTS:There was a higher frequency of STOP-BANG ≥3 (89% vs. 11%, P<.001) among obese patients and they were less frequently scheduled to undergo high-risk surgery (7% vs. 41%, P=.005) and major surgery (4% vs. 15%, P=.008). Obese patients had more frequent AREs in the PACU (33% vs. 7%, P<.018). Multivariate analysis identified obesity and residual neuromuscular blockade as independent risk factors for the occurrence of AREs. Stay in the PACU was longer for obese patients (120min vs. 84min, P<.01). CONCLUSIONS:Obesity was considered an independent risk factor for AREs in the PACU. Obese patients stayed longer in the PACU, but they did not stay longer in the hospital.
journal_name
Rev Port Pneumoljournal_title
Revista portuguesa de pneumologiaauthors
Mendonça J,Pereira H,Xará D,Santos A,Abelha FJdoi
10.1016/j.rppneu.2013.04.002subject
Has Abstractpub_date
2014-01-01 00:00:00pages
12-9issue
1eissn
0873-2159issn
2172-6825pii
S0873-2159(13)00054-8journal_volume
20pub_type
杂志文章abstract：:A 28-year-old neuromuscular patient chronically treated with nocturnal noninvasive ventilation developed pulmonary lobar atelectasis and daytime hypoxemia. Twenty four-hour 5L/min oxygen was begun, while mechanical cough assist aids were applied for seven days. In the following three days, treatment with nebulized Dor...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2012.12.002
更新日期：2014-01-01 00:00:00
abstract：:Chronic Obstructive Pulmonary Disease (COPD) is one of the most common chronic diseases and a major cause of morbility and mortality. An imbalance between oxidants and antioxidants (oxidative stress) has been proposed as a critical event in the pathogenesis of COPD. The increased oxidative stress in patients with COPD...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2012.09.002
更新日期：2013-03-01 00:00:00
abstract：UNLABELLED:Amyotrophic lateral sclerosis (ALS) is a degenerative neurological disorder that affects motor neurons. Involvement of respiratory muscles causes the failure of the ventilator pump with more or less significant bulbar troubles. ALS course is highly variable but, in most cases, this disease entails a very sig...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章,多中心研究
doi：10.1016/j.rppneu.2014.03.001
更新日期：2014-07-01 00:00:00
abstract：INTRODUCTION:Tuberculosis is a leading cause of world -wide mortality and morbidity. A reduced rate of tuberculosis in people aged less than 15 years has been seen in Portugal over the last decade of the twentieth century. MATERIAL AND METHODS:Retrospective analysis of tuberculosis cases in children admitted to the Ce...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：:Marfan syndrome is an autosomal dominant illness of the connective tissue, with typical skeletal, ocular and cardiovascular manifestations. Less frequently, pulmonary involvement occurs, namely spontaneous pneumothorax, which generally is recurrent and occurs in 4 -11% of cases. The authors describe a 14 -year -old bo...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30279-8
更新日期：2008-09-01 00:00:00
abstract：:Pleomorphic carcinoma of the lung (PLC) is a rare malignant tumour presenting with a poor clinical outcome. It is included in the group of non-small cell lung carcinomas that contain sarcoma or sarcoma-like components (spindle cells/giant cells). Because of its rarity and diagnostic difficulties, the authors report a ...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30450-5
更新日期：2006-09-01 00:00:00
abstract：BACKGROUND:Long-term low frequency noise exposure (LFN) (< or = 500 Hz, including infrasound) may lead to the development of vibroacoustic disease (VAD), a systemic pathology characterized by the abnormal growth of extra-cellular matrices. The respiratory system is a target for LFN. Fibrosis of the respiratory tract ep...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：INTRODUCTION:Congenital lobar emphysema (CLE) is a rare anomaly of lung development that presents in the neonatal period in about 50% of the cases. The authors report four clinical cases of congenital lobar emphysema in the newborn. CLINICAL CASES:Four term newborns, 3M/ 1F, were admitted for respiratory distress star...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30077-5
更新日期：2010-09-01 00:00:00
abstract：PURPOSE:Expression of ERCC1 has not been well described in fine-needle aspiration biopsies (FNABs) in patients with non-small cell lung cancer (NSCLC). We investigated the expression of ERCC1 in correlation with EGFR expression and clinicopathological factors in patients with NSCLC in order to determine if these play a...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2013.11.002
更新日期：2014-07-01 00:00:00
abstract：INTRODUCTION:Bronchoalveolar lavage (BAL) with quantitative cultures has been used in order to increase ventilator associated pneumonia (VAP) diagnosis specificity, although the accurate technique for this entity diagnosis remains controversial. OBJECTIVES:To evaluate the influence of using positive BAL and quantitati...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2011.03.002
更新日期：2011-05-01 00:00:00
abstract：INTRODUCTION:Tuberculosis (TB) is considered an occupational disease in health care workers (HCW) and its transmission in health care facilities is an important concern. Some hospital departments are at higher risk of infection. OBJECTIVE:To describe TB cases detected after TB screening in HCW from a hospital departme...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2007-11-01 00:00:00
abstract：:Immigrants are a tuberculosis risk group. In Portugal, in 2000, they had an incidence rate 3.6 times higher than the global incidence, and were native, predominantly, from Angola and Cabo Verde. Being the Chest Disease Center of Venda Nova located in a residential area with a great number of immigrants, most of them l...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30677-2
更新日期：2003-05-01 00:00:00
abstract：INTRODUCTION:Surgical lung biopsy is a technique that presents a morbi-mortality rate of considerable importance. We analyze our experience with surgical lung biopsies for the diagnosis of diffuse lung disease and the effect produced on the indications for surgical biopsy in these pathologies after the publication of t...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2012.11.003
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Obstructive sleep apnoea-hypopnoea syndrome (OSAHS) is a respiratory disorder with high morbidity and mortality. Continuous positive airway pressure (CPAP) is the most commonly prescribed conservative treatment for adults with OSAHS. CPAP therapy normalises or decreases OSAHS symptoms and can reduce and prev...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s2173-5115(09)70106-x
更新日期：2009-03-01 00:00:00
abstract：:Healthcare workers (HCWs) have an increased risk of tuberculosis (TB). Screening for latent tuberculosis infection and active TB is therefore essential in infection control programs. Tuberculin skin test (TST) and Interferon -gamma Release Assay (IGRA) were used simultaneously in 1686 HCWs between May 2007 and April 2...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2010-03-01 00:00:00
abstract：INTRODUCTION:The 2009 pandemic influenza A (H1N1) (i.e., Pandemic Influenza) is an acute, infectious illness caused by the influenza A (H1N1) 2009 virus. This disease involves respiratory, gastrointestinal and systemic symptoms along with a high incidence occurring at a paediatric age. OBJECTIVE:To study the epidemiol...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2012.01.006
更新日期：2012-07-01 00:00:00
abstract：:Bronchiolitis obliterans (BO) is a rare disease in immunocompetent children that usually occurs after infection of the lower airways. While a diagnosis of BO was usually confirmed by lung biopsy, identification of prior lung lesion plus a typical clinical course and a suggestive chest X-ray and CT scan have replaced t...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：:The differential diagnosis of Mycobacterium bovis is important in the control of transmission to the human population and also for treatment since M. bovis is naturally resistant to pyrazinamide. Eleven clinical isolates from the Fernando Fonseca Hospital with Spoligotypes indicative of M. bovis, through the absence o...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30528-6
更新日期：2005-11-01 00:00:00
abstract：:Amyotrophic Lateral Sclerosis (ALS) is a fast progressing neuromuscular disease that affects all but the extrinsic muscles of the eye and sphincters. The main cause of morbidity and mortality are the respiratory complications that usually start in a late stage of the diseases natural history. In a small number of case...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30619-x
更新日期：2004-11-01 00:00:00
abstract：:The incidence of the syndrome may be greater than is suspected. Patients present with recurrent respiratory infections and bronchiectasis. The symptoms are non-specific and indistinguishable from those of other chronic respiratory diseases. The diagnosis is often made several years after the first clinical complaints....
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章,评审
doi：
更新日期：2007-09-01 00:00:00
abstract：:Between 1999 and 2003 the Portuguese National Health Observatory, has conducted four telephone surveys (1998/99, 1999/00, 2001/02 and 2002/03) using the ECOS - Em Casa Observamos Saúde - panel of Portuguese families, with telephone aiming at studying the influenza vaccination coverage of the mainland Portuguese popula...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30572-9
更新日期：2004-03-01 00:00:00
abstract：:We present four patients with non-small cell lung cancer treated in second and third line with Erlotinib. These are selected patients that obtained a good clinical response. Almost all presented cutaneous side effects. Rev Port Pneumol 2008; XIV (Supl 3): S65-S69. ...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/S0873-2159(15)30324-X
更新日期：2008-10-01 00:00:00
abstract：INTRODUCTION:Obstructive Sleep Apnea (OSA) is associated with adverse effects in cardiovascular physiology. Some studies have connected this pathology with Cardiovascular Disease (CVD). AIM:Determine the prevalence of CVD in patients with OSA of different severity and verify the association between CVD and OSA. MATER...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30684-x
更新日期：2003-07-01 00:00:00
abstract：:Male, 54 years old, with smoking habits. The patient complaints were cough, with bleeding secretions in the previous two months. Because of the persistence of the symptoms, a bronchoscopy was proposed. This exam showed multiple lesions in the trachea, nearly 2 cm above the vocal cords that compromised the airway and d...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2006-05-01 00:00:00
abstract：:Brazil is one of the world leaders on traffic accidents. The present article studied the excessive daytime sleepiness of public transport drivers in two Brazilian's capitals and their level of attention. It was conducted here a descriptive transversal study of a convenient sample. For the evaluation were used: anthrop...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/j.rppneu.2013.01.001
更新日期：2013-07-01 00:00:00
abstract：:Smoking cessation is one of the most important ways of improving the prognosis of COPD patients. Based on currently available evidence professional health workers should take a proactive and continuous role with smokers, motivating them to stop smoking and providing treatment to aid smoking cessation. The treatment sh...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章,评审
doi：10.1016/s0873-2159(15)30196-3
更新日期：2009-11-01 00:00:00
abstract：:Pediatric management of complicated pleural effusion (CPE) remains controversial. Different approaches include antibiotics and chest tube drainage alone or the use of fibrinolitics, videothorascoscopy (VTC) and surgical decortication through thoracotomy. The aim of the present study was to review, evaluate and update ...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：:Asthma is a condition characterised by a chronic immunoinflammatory response to different triggers. Neopterin (NPT) is synthesised by human macrophages upon stimulation with interferon-gamma and is also capable of enhancing the oxidative potential of reactive oxygen species. NPT is useful for the monitoring of cell-me...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s2173-5115(06)70428-6
更新日期：2006-11-01 00:00:00
abstract：:The doctor-patient relationship should be established in ethical principles. The codes of conduct that guide the relation between the doctor and the patient are addressed to the physician (principle of beneficence and non-maleficence) or oriented to the patient (principle of autonomy). As such, in certain circumstance...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30151-3
更新日期：2009-05-01 00:00:00
abstract：INTRODUCTION:The Fiberoptic bronchoscopy (BRF) is an essential tool in diagnosis and therapy of respiratory diseases. The occurrence of transient fever after BRF has been documented in some studies. Its meaning hasn't yet been clarified. AIM:Determine the incidence of fever and bacteriemia in the 24 hours after BRF an...
journal_title：Revista portuguesa de pneumologia
pub_type： 杂志文章
doi：10.1016/s0873-2159(15)30557-2
更新日期：2004-01-01 00:00:00
