Perioperative Oxygen Concentration for Patients with Interstitial Pneumonia

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  • CHIBA Hirofumi
    Department of Respiratory Medicine and Allergology, Sapporo Medical University School of Medicine

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  • 間質性肺炎で酸素濃度はどうする？

Abstract

<p>Idiopathic Pulmonary Fibrosis（IPF）is a common type of Interstitial Lung Disease（ILD）which during its development can lead to acute respiratory failure, often referred to as acute exacerbation （AE）. As surgical stress and general anesthesia are believed to induce AE, special care is required in perioperative management. AE is believed to be more prevalent among the Japanese population. In multicenter studies conducted in Japan, 9.3% of surgeries on Interstitial Pneumonia Associated with Lung Cancer patients developed AE and 43.9% who developed AE died as a result. Risk factors to look out for include decreased lung capacity and UIP pattern on chest CT scans. The best perioperative oxygen concentration for Interstitial Pneumonia Associated with Lung Cancer patients is the lowest concentration that the anesthetist can administer safely.</p>

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