Chronic pulmonary disease in the trauma patient.

Despite a better understanding of the pathophysiologic changes that occur in the respiratory system as a result of trauma and surgery, pulmonary complications remain an important contributor of morbidity and mortality. Pre-existing pulmonary disease predisposes the patient to these complications and further complicates their management. Timely identification of chronic pulmonary dysfunction and the early institution of pharmacologic measures and respiratory care, as outlined, may reduce pulmonary complications in this high-risk group.