[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 18.207.249.15. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Letters
September 12, 2007

COPD and Abdominal Surgery

Author Affiliations
 

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;298(10):1158-1159. doi:10.1001/jama.298.10.1158-a

To the Editor: In his Clinical Crossroads discussion of a patient with severe pulmonary disease contemplating major abdominal surgery, Dr Smetana1 provides a concise review of preoperative assessment and perioperative risk reduction strategies for patients susceptible to postoperative pulmonary complications (PPCs). He cites evidence that he suggests favors the use of intraoperative neuraxial blockade (rather than general anesthesia) and postoperative epidural analgesia for reduction of PPCs in high-risk patients. However, conclusions regarding the superiority of these techniques must be interpreted cautiously.

×