Which action would be used to decrease risk for postoperative respiratory complication in an older client with decreased vital capacity?

References

ACS NSQIP/AGS – American College of Surgeons National Surgical Quality Improvement Programs/American Geriatric Society; Chow, W.B., Rosenthal, R.A., Merkpw, R.P. et al. (2012). Optimal preoperative assessment of geriatric surgical patient: a best practices guideline. J Am Coll Surg. 215(4): 453–466.CrossRefGoogle ScholarPubMed

Agusta, F., Battaglia, S., Benfante, A., Spatafora, M., Scichilone, N. (2016). Challenges in the pharmacological treatment of geriatric asthma. Expert Rev Clin Pharmacol. 9(7): 917–926.CrossRefGoogle ScholarPubMed

Alvarez, M.P., Samayoa-Mendez, A.X., Naglak, M.C., Yuschak, J.V., Murayama, K.M. (2015). Risk factors for postoperative unplanned intubation: analysis of a national database. Am Surg. 81: 820–825.Google ScholarPubMed

Antonelli-Incalzi, R., Pedone, C., Scarlata, S., et al. (2009). Correlates of mortality in elderly COPD patients: focus on health-related quality of life. Respirology. 14: 98–104.CrossRefGoogle ScholarPubMed

Arozullah, A.M., Khuri, S.F., Henderson, W.G., Daley, J.; Participants in the National Veterans Affairs Surgical Quality Improvement Program. (2001). Development and validation of a multifactorial risk index for predicting postoperative pneumonia after major noncardiac surgery. Ann Intern Med. 135: 847–857.CrossRefGoogle ScholarPubMed

Ball, L., Battaglini, D., Pelosi, P. (2016). Postoperative respiratory disorders. Curr Opin Crit Care. 22(4): 379–385.CrossRefGoogle ScholarPubMed

Banerjee, D. K., Lee, G. S., Malik, S. K., Daly, S. (1987). Underdiagnosis of asthma in the elderly. Br J Dis Chest. 81: 23–29.CrossRefGoogle ScholarPubMed

Bellia, V., Cibella, F., Cuttitta, G., et al. (1998). Effect of age upon airway obstruction and reversibility in adult patients with asthma. Chest. 114: 1336–1342.CrossRefGoogle ScholarPubMed

Burrows, B., Barbee, R.A., Cline, M.G., Knudson, R.J., Lebowitz, M.D. (1991). Characteristics of asthma among elderly adults in a sample of the general population. Chest. 100: 935–942.CrossRefGoogle Scholar

Canet, J., Mazo, V. (2010). Postoperative pulmonary complications. Minerva Anestesiol. 76: 138–143.Google ScholarPubMed

Canet, J., Sabate, S., Mazo, V., et al. (2015). Development and validation of a score to predict postoperative respiratory failure in a multicentre European cohort: a prospective, observational study. Eur J Anaesthesiol. 32: 458–470.CrossRefGoogle Scholar

Chung, F., Liao, P., Yang, Y., et al. (2015), Postoperative sleep-disordered breathing in patients without preoperative sleep apnea. Anesth Analg. 120: 1214–1224.CrossRefGoogle ScholarPubMed

Coldrey, J.C., Upton, R.N., Macintyre, P.E. (2011). Advances in analgesia in the older patient. Best Pract Res Clin Anaesthesiol. 25: 367–378.CrossRefGoogle ScholarPubMed

Edmark, L., Auner, U., Lindback, J., et al. (2014). Postoperative atelectasis: a randomized trial investigating a ventilatory strategy and low oxygen fraction during recovery. Acta Anaesthesiol Scand. 58(6): 681–688.CrossRefGoogle ScholarPubMed

Eikermann, M., Jordan, A. S., Chamberlin, N. L., et al. (2007). The influence of aging on pharyngeal collapsibility during sleep. Chest. 131: 1702–1709.CrossRefGoogle ScholarPubMed

Gracey, D.R., Divertie, M.B., Didier, E.P. (1979). Preoperative pulmonary preparation of patients with chronic obstructive pulmonary disease: a prospective study. Chest. 76: 123–129.CrossRefGoogle ScholarPubMed

Guay, J., Ochron, E.A. (2015). Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, length of stay and lung injury in patients without acute lung injury. Cochrane Database Syst Rev. (12): CDO11151.Google ScholarPubMed

Hedenstierna, G., Edmark, L. (2015). Effects of anaesthesi a on the respiratory system. Best Pract Res Clin Anesthesiol. 29: 273–284.CrossRefGoogle Scholar

Hua, M., Brady, J.E., Li, G. (2012). A scoring system to predict unplanned intubation in patients having undergone major surgical procedures. Anesth Analg. 115: 88–94.CrossRefGoogle ScholarPubMed

Hubbard, R.E., O’Mahony, M.S., Calver, B.L., Woodhouse, K.W. (2008). Plasma esterases and inflammation in ageing and frailty. Eur J Clin Pharmacol. 64: 895–900.CrossRefGoogle ScholarPubMed

Kaplan, V., Angus, D.C., Griffin, M.F., et al (2002). Hospitalized community-acquired pneumonia in the elderly: age- and sex-related patterns of care and outcome in the United States. Am J Respir Crit Care Med. 165: 766–772.CrossRefGoogle ScholarPubMed

Katsura, M., Kuriyama, A., Takeshima, T. (2015). Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery. Cochrane Database Syst Rev. (19): CDO10356.Google ScholarPubMed

Mazo, V., Sabaté, S., Canet, J. (2016). How to optimize and use predictive models for postoperative pulmonary complications. Minerva Anestesiol. 82: 332–342.Google ScholarPubMed

Mazo, V., Sabate, S., Canet, J., et al. (2014). Prospective external validation of a predictive score for postoperative pulmonary complications. Anesthesiology. 121: 219–231.CrossRefGoogle ScholarPubMed

Ohnishi, A., Kato, M., Kojima, J., et al. (2003). Differential pharmacokinetics of theophylline in elderly patients. Drugs Aging. 20: 71–84.CrossRefGoogle ScholarPubMed

Peterson, D.D., Pack, A.I., Silage, D.A., Fishman, A.P. (1981). Effects of aging on ventilatory and occlusion pressure responses to hypoxia and hypercapnia. Am Rev Respir Dis. 124: 387–391.Google ScholarPubMed

Sabate, S., Mazo, V., Canet, J. (2014). Predicting postoperative pulmonary complications: implications for outcomes and costs. Curr Opin Anaesthesiol. 27: 201–209.CrossRefGoogle ScholarPubMed

Shamsuzzaman, A.S., Gersh, B.J., Somers, V.K. (2003). Obstructive sleep apnea: implications for cardiac and vascular disease. JAMA. 290: 1906–1914.CrossRefGoogle ScholarPubMed

Strum, D.P., Eger, E.I. 2nd, Unadkat, J.D., Johnson, B.H., Carpenter, R.L. (1991). Age affects the pharmacokinetics of inhaled anesthetics in humans. Anesth Analg. 73: 310–318.CrossRefGoogle ScholarPubMed

Urban, M.K., Mangini-Vendel, M., Lyman, S., Pan, T.J., Magid, S.K. (2016). The need for a step-up in postoperative medical care is predictable in orthopedic patients undergoing elective surgery. HSSJ. 12: 59–65.CrossRefGoogle ScholarPubMed

Veering, B.T., Burm, A.G., Souverijn, J.H., Serree, J.M., Spierdijk, J. (1990). The effect of age on serum concentrations of albumin and alpha 1-acid glycoprotein. Br J Clin Pharmacol. 29: 201–206.CrossRefGoogle ScholarPubMed

Yang, C.K., Teng, A., Lee, D.Y., Rose, K. (2015). Pulmonary complications after major abdominal surgery: National Surgical Quality Improvement Program analysis. J Surg Res. 198: 441–449.CrossRefGoogle ScholarPubMed

Young, T., Peppard, P.E., Gottlieb, D.J. (2002). Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 165: 1217–1239.CrossRefGoogle ScholarPubMed

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