Table 2.
Definitions of postoperative respiratory complications from European Perioperative Clinical Outcome consensus statement1
Postoperative pulmonary complication | Definition |
---|---|
Respiratory infection | Patient has received antibiotics for suspected respiratory infection and met one or more of the following criteria: new or changed sputum, new or changed lung opacities, fever, white blood cell count >12×109/L |
Respiratory failure | Postoperative PaO2 <8 kPa (60 mm Hg) on room air, PaO2:FiO2 ratio <40 kPa (300 mm Hg), or arterial oxyhaemoglobin saturation measured with pulse oximetry <90% and needing oxygen therapy |
Pleural effusion | Chest radiograph showing blunting of costophrenic angle, loss of sharp silhouette of ipsilateral hemidiaphragm in upright position, evidence of displacement of adjacent anatomical structures, or (in supine position) hazy opacity in one hemithorax with preserved vascular shadows |
Atelectasis | Lung opacification with shift of mediastinum, hilum, or hemidiaphragm towards affected area, and compensatory over-inflation in adjacent non-atelectatic lung |
Pneumothorax | Air in pleural space with no vascular bed surrounding visceral pleura |