ORGAN FAILURE and ANESTHESIA PRACTICES, Ahmet Şen,Başar Erdivanlı, E. Kurulu Üy., Nova Science Publishers, Inc, New York, ss.119-146, 2024
This chapter discusses ways to adapt anesthetic techniques to the patient suffering from respiratory insufficiency. Traditionally, the word “respiratory” is associated with the lungs. However, the lungs are only as important as the bellows of an anesthesia workstation. The respiratory system is a complex consisting of several organs organized according to the metabolic needs of the body.
Therefore, this chapter starts with a concise review of respiratory physiology. Subsequently, pathologies related to both organs and control mechanisms are discussed. To avoid repeating things, acute pathologies are discussed first, so that comorbidities introduced due to long-standing diseases do not complicate the discussion. Pathologies are ordered from extrinsic to intrinsic as much as possible. With so many pathologies, it is difficult to summarize the text, let alone highlight the highlights. One thing to bring home though is that in many cases the treatment comes before the diagnosis. Once the patient is prevented from imminent death, treatment continues with a history and physical examination. Anesthesia itself may cause respiratory failure. Therefore, a short section is dedicated to the mechanism, prevention, and management of crises in intraoperative and postoperative respiratory failure. Finally, some topics are suggested for future research.