Preoperative Respiratory Assessment

In this article, we will discuss the Preoperative Respiratory Assessment. So, let’s get started.

Respiratory Assessment

The followings should be assessed in detail:

  • Chest deformities: Kyphosis, kyphoscoliosis, pes excavatum and pectus carinatum
  • Breathing pattern: Normal rate of respiration 12-16 breaths/min. Inspiration:expiration- 1:2
  • Abnormal breathing patterns: Pursed lip breathing, apnea, hypoapnea, Cheynesokes respiration, ataxic breathing, apneuistic breathing
  • Chest movements: Symmetry of chest movements, depth of respiration, accessory muscle involvement
  • Chest expansion: It can be assessed both by observation and palpation
  • Dyspnea/breathlessness: It is known as increased work of breathing and can be assessed using “The New York Heart Association Scale of Dyspnea”

I- No symptoms with ordinary activities/No breathlessness with exertion

II- Symptoms with ordinary exercise

III- Symptoms with mild exertion

IV- Symptoms at rest

  • Orthopnea: Breathlessness while lying flat.
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