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Article
October 10, 1942

IS THE ASTHMATIC PATIENT A GOOD SURGICAL RISK?

Author Affiliations

Fellow in Surgery, Mayo Foundation ROCHESTER, MINN.
From the Division of Medicine, Mayo Clinic.

JAMA. 1942;120(6):431-433. doi:10.1001/jama.1942.02830410019005
Abstract

As it is often necessary to subject patients with asthma to major surgical procedures, it is of interest and importance to know the incidence of postoperative pulmonary complications and the apparent mortality risk in such a group. Therefore a study was made reviewing 189 consecutive cases of allergic asthma and asthmatic bronchitis in which major operations were performed at the Mayo Clinic between July 1934 and September 1940. The series consisted of 101 cases of predominantly allergic asthma and 88 of asthmatic bronchitis. The major surgical procedures carried out in our cases of asthma varied greatly.

In considering postoperative complications, only pulmonary complications were included in this study. In 25 (13.2 per cent) of the 189 cases some form of pulmonary complication (including severe asthma) developed after operation, as shown in the table. There were 10 cases of postoperative pneumonia (5.3 per cent), 9 of severe asthma (4.8 per cent),

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