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Chapter: Clinical Anesthesiology: Anesthetic Management: Anesthesia for Patients with Respiratory Disease

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Anesthesia : Extrinsic Restrictive Pulmonary Disorders

Extrinsic restrictive pulmonary disorders alter gas exchange by interfering with normal lung expansion.

EXTRINSIC RESTRICTIVE PULMONARY DISORDERS

Extrinsic restrictive pulmonary disorders alter gas exchange by interfering with normal lung expan-sion. They include pleural effusions, pneumothorax, mediastinal masses, kyphoscoliosis, pectus exca-vatum, neuromuscular disorders, and increased intraabdominal pressure from ascites, pregnancy, or bleeding. Marked obesity also produces a restric-tive ventilatory defect. Anesthetic considerations are similar to those discussed for intrinsic restrictive disorders.

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