A member asked:

Anesthetized patients with chronic bronchitis and emphysema and what complications expected to occur during anesthesia and surgical work and what are?

10 doctors weighed in across 5 answers

General anesthesia: With chronic lung, disease intubation (general anesthesia) can prolong the time the tube will stay in also situations like atelectasis (decreased lung volume) due to poor inspiratory afford can cause fever and worse pneumonia.

Answered 10/14/2012

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Respiratory: Because of their underlying airway disease, these patients are more likely to get postoperative pneumonia.

Answered 11/5/2015

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See below: Depending on how bad the emphysema is, these patients are also at increased risk of being unable to get of the ventilator for prolonged periods of time. Get pulmonary clearance before surgery, the pulmonologist should be able to explain to you what the risks are in your specific case.

Answered 10/14/2012

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Depends: Like everything else in medicine it all depends on the amount of organ reserve. That is, how bad is the bronchitis and severe is the emphysema. These diseases and ailments are usually described along a progression of mild, moderate and severe. The more severe, the more likely complications or the need for pulmonary support after surgery (oxygen by mask or even continued ventilator support).

Answered 11/5/2015

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Dr. Richard Pollard answered

Specializes in Anesthesiology

See below: The main concerns with patients with chronic bronchitis and emphysema are pulmonary related. That is to say how will the patient breathe after the surgery with the additional narcotics for pain medication on board. These patients will be watched very closely in the pacu, and may need to go to a monitored bed overnight for safety.

Answered 4/24/2015

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