Perioperative ARDS and lung injury: for anaesthesia and beyond

  • Editorial Office
  • Robert Wise University of KwaZulu-Natal
  • David Bishop University of KwaZulu-Natal
  • Gavin Joint The Chinese University of Hong Kong
  • Reitze Rodseth University of KwaZulu-Natal
Keywords: acute lung injury, anaesthesia, ARDS, ventilation

Abstract

Postoperative pulmonary complications are common and may be associated with significant cost. Acute respiratory distress syndrome (ARDS), a life-threatening respiratory disease process characterised by hypoxaemia and reduced lung compliance, is one of the more serious pulmonary complications. The development of ARDS or the related entity of lung injury is associated with prolonged hospitalisation, ventilation, and time spent in intensive care, and profoundly increases the risk of mortality and significant morbidity. Patients with, or at risk of ARDS and lung injury, must be identified, optimised and managed with sound intraoperative principles (particularly ventilation and fluid management) – with the specific aim of limiting harm. This review will focus on the diagnosis, pathophysiology, prevention and management of ARDS and lung injury in the perioperative period.

(Full text available online at www.medpharm.tandfonline.com/ojaa)

South Afr J Anaesth Analg 2018; DOI: 10.1080/22201181.2018.14494638

Author Biographies

Robert Wise, University of KwaZulu-Natal
Perioperative Research Unit Metropolitan Department of Anaesthetics, Critical Care and Pain Management Pietermaritzburg; and Discipline of Anaesthesiology and Critical Care University of KwaZulu-Natal Durban
David Bishop, University of KwaZulu-Natal
Perioperative Research Unit Metropolitan Department of Anaesthetics, Critical Care and Pain Management Pietermaritzburg; and Discipline of Anaesthesiology and Critical Care University of KwaZulu-Natal Durban
Gavin Joint, The Chinese University of Hong Kong
Department of Anaesthesia and Intensive Care The Chinese University of Hong Kong Shatin
Reitze Rodseth, University of KwaZulu-Natal
Perioperative Research Unit Metropolitan Department of Anaesthetics, Critical Care and Pain Management Pietermaritzburg; and Discipline of Anaesthesiology and Critical Care University of KwaZulu-Natal Durban; and Outcomes Research Consortium Cleveland Clinic Cleveland Ohio United States of America
Published
2018-04-03
Section
Review Articles