How are bullectomy complications prevented?

Updated: Oct 23, 2020
  • Author: Neerja Gulati, MD; Chief Editor: Dale K Mueller, MD  more...
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Careful patient selection is the cornerstone of efforts to minimize patient mortality and morbidity. Tenets of complication prevention include the following:

  • Early extubation, which minimizes the duration of positive-pressure ventilation and the risk of barotrauma associated with it [8]
  • Maintenance of low intraoperative tidal volumes, which minimizes barotrauma to the nonoperative lung during surgery
  • Minimal intraoperative fluid resuscitation and postoperative use of fluids, which minimize the risk of pulmonary edema and hypoxemia
  • Pulmonary toileting in the early postoperative period

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