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Canadian Journal of Anesthesia, Vol 5, 341-354, Copyright © 1958 by Canadian Anesthesiologists' Society

Pulmonary Emphysema and Associated Problems in Anaesthesia: A Review

E. N. HUGHES M.D.1 and R. E. SIMPSON M.D.1

1 Department of Anesthesiology, Shaughnessy Veteran's Hospital, and University of British Columbia, Vancouver, B. C.

An attempt has been made to review the pertinent literature on the subject of chronic pulmonary emphysema where it may have some bearing on the practice of anaesthesia. Some dogmatic statements may have been made concerning procedures and techniques, particularly on the problem of anaesthetic management, but these by no means constitute the perfect solution to this serious problem. In addition to a knowledge of normal pulmonary physiology and function tests, the anaesthetist should be well aware of the abnormal physiology and altered function tests which are a part of this disease. Pulmonary function studies should perhaps be used more frequently along with a basis of classification for severity of disease. The anaesthetic risk would then be more easily computed and the optimum anaesthetic management would then follow.






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Copyright © 1958 by the Canadian Anesthesiologists' Society.