Summary of the best evidence for perioperative assessment and intervention in patients with chronic obstructive pulmonary disease

Objective To analyze and integrate the best evidence of perioperative assessment and management in patients with chronic obstructive pulmonary disease(COPD).

Methods Guideline websites, Chinese and English databases, related society websites were searched systematically to search and extract for guidelines, clinical decisions, recommended practice, evidence summaries, systematic reviews and expert consensus on perioperative assessment and intervention in patients with COPD. The retrieval time was from the establishment of the database to January 31, 2023.

Results A total of 14 literatures were included: 5 guidelines, 3 expert consensus, 3 clinical decisions, and 3 systematic reviews. Twenty-six pieces of evidence were collected from seven aspects, including general principles, risk factors, nursing assessment, pulmonary rehabilitation nursing, airway management, effectiveness evaluation and shift management.

Conclusion This study summarizes the best evidence of perioperative evaluation and intervention in patients with COPD, which can provide evidence-based evidence for perioperative management in patients with COPD.