Preoperative Assessment of the Patient For Pulmonary Resection
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- Denis Grant
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From this document you will learn the answers to the following questions:
What disease was evaluated in a lung resection?
What disease is associated with intercurrent respiratory problems?
What Atelectasis Nutrition is an example of what?
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1 Preoperative Assessment of the Patient For Pulmonary Resection Peter Slinger MD, FRCPC University of Toronto
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6 FVC FEV 1 1 sec. Time
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8 Diffusing Capacity Predicts Morbidity after Lung Resection
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15 Cardiac Risk Assessment for Thoracotomy (ACC/AHA Guidelines, Anesth Analg 2007, 104:15-26) Intermediate Clinical Predictors -Mild Stable Angina, Prev. MI -Diabetes -Compensted /prev. CHF Poor Functional Capacity Non-Invasive Testing OK Adequate Functional Capacity OR Abnormal
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21 Pre-thoracotomy Cardiac Risk Assessment Elderly Poor/Mod. Ex.Tol < 4 METS Excellent Ex.Tol >> 4 METS High Risk Op. Intermed/Low Risk Op. OR Non-invasive Test. High Risk? Angio. Low Risk
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25 Intercurrent Respiratory Problems Infection in COPD Bronchospasm Atelectasis Nutrition/exercise
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27 (Effect of preoperative smoking cessation interventions on postoperative complications and smoking cessation. Thomsen T, et al. Br J Surg 2009: 96: 45-61)
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34 Preoperative Assessment for Thoracic Surgery, References: Poonyagariyagorn H, Mazzone PJ. Lung cancer: preoperative pulmonary evaluation of the lung resection candidate. Sem Resp Crit Care Med 2008, 29: Collice GL, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: ACCP evidencedbased clinical practice guidelines. Chest 2007, 132: 161s-177s
35 Preoperative Assessment of the Patient For Pulmonary Resection Peter Slinger MD, FRCPC University of Toronto
Rehabilitation and Lung Cancer Resection. Roberto Benzo MD MS Mindful Breathing Laboratory Division of Pulmonary & CCM Mayo Clinic
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