Online ISSN: 2515-8260

Keywords : respiratory failure

General anaesthesia for patients with chronic obstructive pulmonary disease undergoing spinal surgery and postoperative respiratory failure: An observational study

Dr. Abdul Wahab Mirza, Dr. Deepinder Kaur, Yogesh Kumar Chhetty

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2029-2032

Background: Patients with the chronic obstructive pulmonary disorder (COPD) are at risk of developing postoperative respiratory failure. That is the reason they may require artificial respiration for longer periods than others. However, being on mechanical ventilation for a long time leads to lung damage and infections.
Objective: The present study was undertaken to observe the relation between the severity of COPD in patients of spinal surgery and the prevalence of respiratory failure.
Materials and Methods: 40 patients with COPD who had undergone spinal surgery were part of the study. The data was collected from the medical records department including the demographics, spirometry results, blood gas analysis, comorbidities, postoperative and other variables. The important outcome is a respiratory failure within one week after the surgery.
Results: Data was presented in table 1 and table 2. Table 1 presents the demographic and clinical parameters of the participants. Table 2 presents the risk factors for respiratory failure of the participants. A longer duration of anesthesia was required for the mild COPD patients. Comorbidities were present in all levels of COPD patients. Table 2 presents the risk factors for respiratory failure of the participants. Length of stay was longer in patients with severe COPD. Extubating time, and endotracheal intubation after surgery were more in the severe COPD patients. Pulmonary infection is present in all groups of patients.
Conclusion: There is no significant relationship between the severities of COPD with postoperative respiratory failure. However, there is a strong need to conduct a prospective study with more defined parameters to understand better these relations. So that better and more effective treatment strategies can be developed.

Systamatic Review On Respiratory Failure During Covid-19

Dr.Aruthra .P; Dr. Senthil Nathan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 5561-5570

Respiratory diseases got prevalent during the current pandemic (COVID 19). The current article is a systamatic review of the literature written by the scholars on respiratory failure during the CODIV-19. Articles have been downloaded from the Scopus and WoS database for the evaluation purpose. PRISMA guidelines have been used for the purpose of selection of articles. Graphical and tabular representation have been used to show the output.