Acta clinica Croatica, Vol. 42 No. 3, 2003.
Case report
Preoperative Pulmonary Evaluation for Pulmonary and Extrapulmonary Operations
Filip Grubišić-Čabo
Ivo Grbac
Nikola Periša
Ksenija Kovačić
Davor Jurman
Mladen Janaček
Abstract
The purpose of preoperative pulmonary assessment is to predict which patients are at greatest risk of pulmonary complications, under which circumstances such complications may occur, and whether surgery should be denied based on that risk. Surgical site is the most important predictor of pulmonary risk. The American College of Physicians suggest the following indications for preoperative pulmonary function tests: patients undergoing cardiac or upper abdominal surgery with a history of smoking or dyspnea, patients undergoing lower abdominal surgery if prolonged operation is anticipated, patients undergoing orthopedic surgery with uncharacterized lung disease, and all patients undergoing lung resection. These tests include spirometry, diffusing capacity for CO, arterial blood gases; symptom limited cardiopulmonary exercise testing, and quantitative differential lung perfusion scanning. None of these tests absolutely excludes a patient for surgery; however, they do identify patients at an increased risk of surgical morbidity and mortality.
Keywords
Lung, surgery; Lung, diagnosis; Respiratory function tests; Preoperative care; Risk factors
Hrčak ID:
14670
URI
Publication date:
1.9.2003.
Visits: 3.810 *