Using prospectively collected data, Fernandez-Bustamante et al1 have been able to demonstrate that mild to severe postoperative pulmonary complications (PPCs) are more frequent than previously reported in noncardiac surgical patients with severe systemic disease, despite intraoperative care aimed at preventing these outcomes. The authors appear to have created a robust multi-institutional data set, thereby giving a more accurate representation of the frequency and causality of postoperative pulmonary function following abdominal, orthopedic, and neurological surgery under general anesthesia.
Haines KL, Agarwal S. Postoperative Pulmonary Complications—A Multifactorial Outcome. JAMA Surg. Published online November 09, 2016. doi:10.1001/jamasurg.2016.4102