{"title":"Preoperative assessment","authors":"Chapman Robinson","doi":"10.1093/med/9780198837114.003.0011","DOIUrl":"https://doi.org/10.1093/med/9780198837114.003.0011","url":null,"abstract":"The respiratory physician may be asked to assess a patient prior to elective or emergency surgery. These patients are usually those with pre-existing respiratory disease such as COPD. Patients are now often also referred to respiratory units following positive screening for OSA. The usual functional status of the patient should be determined. Their respiratory function should be optimized, if possible, with medication changes where appropriate. In those with confirmed OSA pre-operative CPAP should be considered. These patients may require ventilatory support post-operatively. Ultimately, the decisions regarding fitness for surgery rest with the surgeon and the anaesthetist.","PeriodicalId":447884,"journal":{"name":"Oxford Handbook of Respiratory Medicine","volume":"237 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114280656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bronchiectasis","authors":"C. Robinson","doi":"10.1093/med/9780198837114.003.0019","DOIUrl":"https://doi.org/10.1093/med/9780198837114.003.0019","url":null,"abstract":"Bronchiectasis is irreversible abnormal dilatation of one or more bronchi, with chronic airway inflammation. It is associated with chronic sputum production, recurrent chest infections, and airflow obstruction.","PeriodicalId":447884,"journal":{"name":"Oxford Handbook of Respiratory Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115501129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Chapman, Grace V. Robinson, R. Shrimanker, C. Turnbull, J. Wrightson
{"title":"Safe sedation","authors":"S. Chapman, Grace V. Robinson, R. Shrimanker, C. Turnbull, J. Wrightson","doi":"10.1093/med/9780198837114.003.0070","DOIUrl":"https://doi.org/10.1093/med/9780198837114.003.0070","url":null,"abstract":"Includes: Administration of sedation, drugs used for sedation, sedation in specific circumstances.","PeriodicalId":447884,"journal":{"name":"Oxford Handbook of Respiratory Medicine","volume":"300 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116372350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Chapman, Grace V. Robinson, R. Shrimanker, C. Turnbull, J. Wrightson
{"title":"Sarcoidosis","authors":"S. Chapman, Grace V. Robinson, R. Shrimanker, C. Turnbull, J. Wrightson","doi":"10.1093/med/9780198837114.003.0046","DOIUrl":"https://doi.org/10.1093/med/9780198837114.003.0046","url":null,"abstract":"A multi-system disorder of unknown cause, likely resulting from the interplay of environmental and genetic factors, characterized by non-caseating granulomata and CD4+ Th1-biased T cell response in affected organs. Commonly involves the respiratory system but can affect nearly all organs. Fifty to sixty per cent of people have spontaneous remissions; others may develop chronic, and sometimes progressive, disease.","PeriodicalId":447884,"journal":{"name":"Oxford Handbook of Respiratory Medicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127840297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bronchiolitis","authors":"C. Robinson","doi":"10.1093/med/9780198837114.003.0020","DOIUrl":"https://doi.org/10.1093/med/9780198837114.003.0020","url":null,"abstract":"Bronchioles are small airways of <2 mm diameter, lined by bronchial epithelium and with no cartilage in their walls. Terminal bronchioles lead to alveoli. Many bronchioles need to be affected by disease before a patient becomes symptomatic, when there will be increased airway resistance unresponsive to β2 stimulants. Bronchiolitis is poorly understood and is a mixture of conditions.","PeriodicalId":447884,"journal":{"name":"Oxford Handbook of Respiratory Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127979976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}