Postoperative problems: Edited by David Silverman and Stanley RosenbaumPerioperative pulmonary complicationsJohnson, D.C.; Kaplan, L.J.Author Information Department of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA Correspondence to Dirk C. Johnson, MD, Assistant Professor of Surgery, Section of Trauma, Surgical Critical Care, and Surgical Emergencies, Department of Surgery, Yale University School of Medicine, 330 Cedar Street, BB 310, New Haven, CT 06520, USATel: +1 203 785 2572; fax: +1 203 785 3950; e-mail: [email protected] Current Opinion in Critical Care: August 2011 - Volume 17 - Issue 4 - p 362-369 doi: 10.1097/MCC.0b013e328348bfc8 Buy Metrics Abstract Purpose of review This article reviews current concepts in perioperative pulmonary management. Recent findings Preoperative risk assessment tools for perioperative pulmonary complications (POPCs) are evolving for both children and adults. Intraoperative management strategies have a demonstrable effect on outcomes. Late POPCs may be preceded by clinical signs. Summary POPCs are common and lead to significant resource utilization. Optimal POPC risk mitigation must span all phases of surgical care. Preoperative assessment may identify patients at risk and effectively lower their risk by identifying targeted interventions. Intra-operative strategies impact postoperative outcome. POPCs continue to be a concern for several days postoperatively. We review the current literature on this broad subject with a focus on implementable interventions for the clinician. © 2011 Lippincott Williams & Wilkins, Inc.