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Evidence-Based Patient Safety Advisory: Patient Assessment and Prevention of Pulmonary Side Effects in Surgery. Part 2—Patient and Procedural Risk Factors

Haeck, Phillip C. M.D.; Swanson, Jennifer A. B.S., M.Ed.; Iverson, Ronald E. M.D.; Lynch, Dennis J. M.D.the ASPS Patient Safety Committee

Plastic and Reconstructive Surgery: October 2009 - Volume 124 - Issue 4S - p 57S-67S
doi: 10.1097/PRS.0b013e3181b53fb0
Patient Safety: Outcomes Article

Summary: Several factors may increase a patient’s risk for perioperative pulmonary complications. This practice advisory provides an overview of the preoperative steps that should be performed to ensure appropriate patient selection and patient safety with regard to pulmonary complications. Procedural and patient-related risk factors are discussed, as are recommendations for perioperative management and strategies for minimizing complications.

Arlington Heights, Ill.

From the American Society of Plastic Surgeons’ Patient Safety Committee.

Received for publication March 3, 2009; accepted May 27, 2009.

Approved by the ASPS Executive Committee, January 10, 2009.

The members of the ASPS Patient Safety Committee are listed at the end of this article.

Disclosure: The authors have no financial interests related to this article.

Phillip C. Haeck, M.D., 901 Boren Avenue, Suite 1650, Seattle, Wash. 98104-3508,

©2009American Society of Plastic Surgeons