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 ......
ARTICLE |

Respiratory Maneuvers to Prevent Postoperative Pulmonary Complications:  A Critical Review

Robert H. Bartlett, MD; Alan B. Gazzaniga, MD; Tamar R. Geraghty, RN
JAMA. 1973;224(7):1017-1021. doi:10.1001/jama.1973.03220210035008.
Text Size: A A A
Published online

Significant pulmonary complications occur in 20% to 40% of patients following abdominal or thoracic operations,1-3 making pulmonary complications the single largest cause of morbidity and mortality in the postoperative period.4 The desire of the surgeon and the inhalation therapist to prevent the familiar progression of atelectasis, tachypnea, hypoxia, fever, and pneumonitis has led to a wide variety of practices to prevent pulmonary complications. The prophylactic respiratory maneuver is one of many aspects of postoperative care that are intended to minimize pulmonary complications. Various respiratory maneuvers and devices to encourage those maneuvers are used in different centers. The purpose of this report is to review the altered physiology of the postoperative period, describe what respiratory maneuvers must be carried out to reverse that pathophysiology, and to examine the reports of specific maneuvers and devices.

Pulmonary Physiology in the Postoperative Patient  Major changes in lung volume, mechanics, and gas exchange

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

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

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

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

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

Jobs
brightcove.createExperiences();