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Perioperative mortality has been defined as any death, regardless of cause, occurring within 30 days after surgery in or out of the hospital. [1] Globally, 4.2 million people are estimated to die within 30 days of surgery each year. [2]
the lungs, i.e. pneumonia, aspiration, and pulmonary embolism; atelectasis has been commonly cited as a cause of post-operative fever, but supporting evidence is lacking [2] [3] Water POD 3-5 urinary tract infection, possibly catheter-associated (if a urinary catheter was inserted during surgery or remains in place currently i.e. Foley catheter ...
Pneumonia fills the lung's alveoli with fluid, hindering oxygenation. The alveolus on the left is normal, whereas the one on the right is full of fluid from pneumonia. Pneumonia frequently starts as an upper respiratory tract infection that moves into the lower respiratory tract. [55] It is a type of pneumonitis (lung inflammation). [56]
As with any surgery, complications may occur. Post lobectomy air leak is a significant clinical problem, [5] and patients undergoing pulmonary resections often present with postoperative air leaks. [6] Other risk factors include infections, reactions to anesthesia, bleeding, pneumothorax and bronchopleural fistula. [7]
Also increased pneumonia risk exists in patients with esophageal dysphagia when compared to stroke patients because patients with stroke will improve as they recover from their acute injury, whereas esophageal dysphagia is likely to worsen with time. In one cohort of aspiration pneumonia patients, overall three-year mortality was 40%. [16]
The most common cause is post-surgical atelectasis, characterized by splinting, i.e. restricted breathing after abdominal surgery. Atelectasis develops in 75–90% of people undergoing general anesthesia for a surgical procedure. [7] Another common cause is pulmonary tuberculosis. Smokers and the elderly are also at an increased risk.
An overwhelming post-splenectomy infection (OPSI) is a rare but rapidly fatal infection occurring in individuals following removal (or permanent dysfunction) of the spleen. The infections are typically characterized by either meningitis or sepsis , and are caused by encapsulated organisms including Streptococcus pneumoniae . [ 3 ]
Pneumonia is a major lung complication associated with increased morbidity and mortality, length of hospital stay, and likelihood of hospital readmissions. [2] In conjunction with breathing exercises and early mobility, incentive spirometry use is therefore beneficial for patients recovering from pneumonia or rib damage to help minimize the ...