Fatores progn車sticos em complicaˋˋes p車s-operat車rias de ressecˋˋo pulmonar: an芍lise de pr谷-albumina, tempo de ventilaˋˋo mecanica e outros

作者：Bianchi; Renata Cristiane Gennari; Souza; Juliana Nalin de; Giaciani; Carolina de Almeida; Hoehr; Neucy Fenalti; Toro; Ivan Felizardo Contrera

来源：Jornal Brasileiro de Pneumologia, 2006.

DOI：10.1590/S1806-37132006000600004

• thoracic surgery
• postoperative complications
• mechanical ventilation
• nutritional status
• prealbumin.

objective: to determine whether pre-operative nutritional status and post-operative time on mechanical ventilation, as well as others factors, are correlated with post-operative complications (general or pulmonary) in patients undergoing elective thoracic surgery. methods: a prospective study was conducted, involving 71 patients undergoing elective pulmonary resection. the data collected pre-operatively included gender, age, smoking status, pre-albumin level, lymphocyte count, and body mass index. the peri-operative data included type of surgery and surgical time, as well as post-operative time on mechanical ventilation. results: post-operative complications were found to correlate with low pre-albumin concentration, type of resection, surgical time, and post-operative time on mechanical ventilation. surgical time and post-operative time on mechanical ventilation were also implicated in the post-operative pulmonary complications observed in 22 (30.99%) of the patients studied. conclusion: our results suggest that pre-albumin concentration, type of surgery and surgical time, as well as post-operative time on mechanical ventilation, serve as predictive indices of post-operative complications in patients undergoing elective pulmonary resection. in the analysis of the post-operative pulmonary complications, statistically significant correlations were found between such complications and increases in surgical time or post-operative time on mechanical ventilation.