Postoperative pulmonary complications (PPCs) can cause increased incidence of complications in other organs, longer hospital stays, increased treatment costs, and increased mortality, which are important factors affecting the prognosis of surgical patients. The measures of lung protection involve multiple links in the perioperative period, and there is an urgent need for individualized perioperative management of patients in clinical practice. The preoperative medical team should promptly carry out the risk stratification of PPCs and the selection of anesthesia methods according to the patient's own condition, type of surgery and anesthesia, measures such as smoking quitting, exercise therapy and oral care should be taken for high-risk patients to prepare for the operation, intraoperative lung protection strategies such as general anesthesia combined with nerve block, positive end-expiratory pressure (PEEP) titration, reduced opioid dose, appropriate myisolins and adequate antagonism and moderate limiting rehydration can be implemented. After surgery, education for early activities and lung intervention should be conducted. |
