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  • Title: Nurse-led preoperative screening and targeted optimization of pulmonary dysfunction in patients undergoing cardiac surgery.
    Author: Sivalingam S, Rathinam S, Ajis A, Satur CM.
    Journal: Ann Thorac Surg; 2007 Aug; 84(2):683-5. PubMed ID: 17643671.
    Abstract:
    Postoperative pulmonary dysfunction prolonging intensive care treatment after cardiac surgery most commonly occurs in patients with a background of pre-existing pulmonary dysfunction. However, many patients have occult dysfunction and present primarily after surgery. We describe and discuss the results of a respiratory optimization program utilizing a peak expiratory flow rate below 400 L/min as a screening test to identify patients in a nurse-directed preoperative clinic.
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