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The Scientific World Journal
Volume 2014, Article ID 546758, 7 pages
Review Article

Emerging Risk Factors and Prevention of Perioperative Pulmonary Complications

1Department of Hospital Medicine (Medicine Institute), Cleveland Clinic Foundation, Cleveland, OH 44195, USA
2Department of Hospital Medicine (Medicine Institute) and Outcomes Research (Anesthesiology Institute), Cleveland Clinic Lerner College of Medicine, Desk A13, 9500 Euclid Avenue, Cleveland, OH 44195, USA

Received 31 August 2013; Accepted 17 November 2013; Published 21 January 2014

Academic Editors: J. J. Derose and C. Weissman

Copyright © 2014 Priyanka Bhateja and Roop Kaw. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Modern surgery is faced with the emergence of newer “risk factors” and the challenges associated with identifying and managing these risks in the perioperative period. Obstructive sleep apnea and obesity hypoventilation syndrome pose unique challenges in the perioperative setting. Recent studies have identified some of the specific risks arising from caring for such patients in the surgical setting. While all possible postoperative complications are not yet fully established or understood, the prevention and management of these complications pose even greater challenges. Pulmonary hypertension with its changing epidemiology and novel management strategies is another new disease for the surgeon and the anesthesiologist in the noncardiac surgical setting. Traditionally most such patients were not considered surgical candidates for any required elective surgery. Our review discusses these disease entities which are often undiagnosed before elective noncardiac surgery.