Aliases:
Emphysema
Chronic obstructive pulmonary disease (COPD)

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Consider epidural for patients with respiratory disease undergoing major intra-abdominal surgery. MASTER trial showed reduction in respiratory failure in patients with severe respiratory disease. (23% vs 30%, p=0·02) refl.in/3q

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If evidence of gas trapping on ventilation (upsloping capnograph, high PIPs) modify the I:E ratio to 1:3 or above to prolong the expiratory phase

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Pressure control ventilation (PCV) may reduce uneven lung unit ventilation seen in COAD (laplace's law) #ref

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