Pulmonary complications after spine surgery  

作　　者：Ottokar Stundner Fadi Taher Abhijit Pawar Stavros G Memtsoudis 

机构地区：[1]Department of Anesthesiology, Hospital for Special Surgery, Weill Medical College of Cornell University [2]Department of Spine Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University

出　　处：《World Journal of Orthopedics》2012年第10期156-161,共6页世界骨科杂志（英文版）

摘　　要：Spine surgery is one of the fastest growing branches of orthopedic surgery. Patients often present with a relatively high acuity and, depending on surgical approach, morbidity and mortality can be comparatively high. Among the most prevalent and most frequently fatalitybound perioperative complications are those affecting the pulmonary system; evidence of clinical or subclinical lung injury triggered by spine surgical procedures is emerging. Increasing burden of comorbidity among the patient population further increases the likelihood of adverse outcome. This review is intended to give an overview over some of the most important causes of pulmonary complications after spine surgery, their pathophysiology and possible ways to reduce harm associated with those conditions. We discuss factors surrounding surgical trauma, timing of surgery, bone marrow and debris embolization, transfusion associated lung injury, and ventilator associated lung injury.Spine surgery is one of the fastest growing branches of orthopedic surgery. Patients often present with a relatively high acuity and, depending on surgical approach, morbidity and mortality can be comparatively high. Among the most prevalent and most frequently fatalitybound perioperative complications are those affecting the pulmonary system; evidence of clinical or subclinical lung injury triggered by spine surgical procedures is emerging. Increasing burden of comorbidity among the patient population further increases the likelihood of adverse outcome. This review is intended to give an overview over some of the most important causes of pulmonary complications after spine surgery, their pathophysiology and possible ways to reduce harm associated with those conditions. We discuss factors surrounding surgical trauma, timing of surgery, bone marrow and debris embolization, transfusion associated lung injury, and ventilator associated lung injury.

关 键 词：Spine surgery Complications PULMONARY PULMONARY EMBOLISM Transfusion-associated LUNG INJURY VENTILATOR-ASSOCIATED LUNG INJURY 

分 类 号：R687.3[医药卫生—骨科学]