0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Patient Page |

Lung Complications After Surgery FREE

Janet M. Torpy, MD, Writer; Cassio Lynm, MA, Illustrator; Richard M. Glass, MD, Editor
JAMA. 2009;302(14):1610. doi:10.1001/jama.302.14.1610.
Text Size: A A A
Published online

Risks associated with surgical procedures include pulmonary (lung) complications. These lung complications can be severe, and, in some cases, even fatal. Certain surgical procedures are more likely to be associated with lung complications, including operations on the lungs, the heart, and the upper abdomen. The October 14, 2009, issue of JAMA is a theme issue devoted to surgical care and includes an article about pulmonary complications after surgery.

COMPLICATIONS

  • Hypoxemia: low oxygen concentration in the blood, leading to lower oxygen delivery to body tissues

  • Atelectasis: collapse of the alveoli (areas in the lung where ventilation and oxygen exchange take place)

  • Bronchospasm: tightening of the smooth muscle of the airways, restricting air exchange

  • Pneumonia: infection of lung tissue

  • Pneumothorax: a collection of air in the pleural space (the area around the lung). The air can compress the lung, the heart, and the large blood vessels around the heart.

  • Respiratory failure: When a person develops respiratory failure, he or she cannot breathe adequately for his or her needs. Often, mechanical ventilation (a ventilator, also known as a breathing machine) is required to support the person while respiratory failure is treated. Respiratory failure is a serious condition requiring intensive care unit (ICU) care.

  • Pulmonary embolism: A blood clot from the deep veins may come loose and travel into the lungs, where it blocks blood flow. This may impair oxygen uptake and heart function.

PREVENTION

  • Stop smoking. Smoking limits the amount of oxygen carried to the body's tissues. Smoking also damages the cilia (hairlike structures that help remove mucus from the lungs).

  • Evaluation and treatment of preexisting lung disease is the most important way to reduce the chance of lung complications after surgery. Optimizing lung function in persons who have chronic obstructive pulmonary disease (COPD), emphysema, or asthma may require adding medications or using techniques to clear secretions.

  • Eliminating infection, such as bronchitis or pneumonia, may require postponing an elective surgical procedure for proper antibiotic treatment (for a bacterial infection) or allowing a viral infection to run its course.

  • Proper nutrition and improved physical condition help reduce the chance of pulmonary complications, especially for major operations.

FOR MORE INFORMATION

INFORM YOURSELF

To find this and previous JAMA Patient Pages, go to the Patient Page Index on JAMA's Web site at http://www.jama.com. Many are available in English and Spanish. A Patient Page on preparing for surgery: evaluation of lung function was published in the May 16, 2007, issue; one on intensive care units was published in the March 25, 2009, issue; one on chronic obstructive pulmonary disease was published in the November 26, 2008, issue; and one on pulmonary embolism was published in the January 11, 2006, issue.

Sources: American Lung Association; National Heart, Lung, and Blood Institute; American Society of Anesthesiologists; Society of Critical Care Medicine; American College of Surgeons

The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 312/464-0776.

TOPIC: LUNG DISEASE

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Spanish Patient Pages
Supplemental Content

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles