The most common, preventable complication of abdominal surgery is:

The most common, preventable complication of abdominal surgery is: Correct Answer Atelectasis

Explanation:

  • Atelectasis refers to a partial collapse of the small airway.
  • Atelectasis is when the airways or air sacs in the lungs collapse or do not fully expand. Atelectasis is usually reversible. However, without medical care, it can lead to potentially fatal complications.
  • The majority of post-operative patients will develop some degree of atelectasis, resulting in abnormal alternations in lung function or compromise to the lung's immune defense.
  • Current theories suggest that airway collapse is due to a combination of airway compression, alveolar gas resorption intraoperatively, and impairment of surfactant production.
  • General anesthesia is another common cause of atelectasis.

Important Points

  • Chest trauma may lead to obstructive atelectasis which can cause respiratory impairment, especially while taking deep breaths (due to the pain), which can result in compression of the lung.
  • Prevention of Atelectasis
  1. Performing deep-breathing exercises by (incentive spirometry) and using a device to assist with deep coughing may help remove secretions and increase lung volume.
  2. Postural drainage: Positioning of the body to keep the head lower than the chest. This allows mucus to drain better from the bottom of the lungs.
  3. Percussion: Tapping of the chest over the collapsed area to loosen mucus. 

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