Postoperative pulmonary complications, specifically atelectasis and pn
eumonia, are the leading cause of postoperative morbidity and death. I
t is crucial that the clinician have a thorough understanding of the p
athophysiology, risk factors, and scientific basis for currently used
respiratory interventions to tailor the patient's care in the preopera
tive, intraoperative, and postoperative settings. Given the changing h
ealthcare environment and increasing economic constraints, all respira
tory interventions must be reevaluated for use in patient care, keepin
g in mind the factors of scientific basis, patient needs, appropriate
utilization, and quality patient outcomes.