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Current Anesthesiology Reports

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17.03.2020 | Preoperative Evaluation (BJ Sweitzer, Section Editor)

Preoperative Evaluation for Lung Resection Surgery

verfasst von: Alonso Blanch, Florin Costescu, Peter Slinger

Erschienen in: Current Anesthesiology Reports | Ausgabe 2/2020

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Abstract

Purpose of Review

The purpose of this article is to review the literature surrounding preoperative assessment and management of patients undergoing lung resection surgery.

Recent Findings

The traditional preoperative cardiovascular risk assessment can be further refined in patients undergoing lung resection surgery with the Thoracic Revised Cardiac Risk Index and cardiac biomarkers such as B-type natriuretic peptide. Cardiorespiratory exercise testing parameters such as the maximal achieved oxygen consumption (VO₂ peak) and the minute ventilation to carbon dioxide output (VE/VCO₂) slope are strong preoperative prognosticators in patients with borderline lung function. Preoperative pulmonary rehabilitation holds promising benefits in improving surgical candidacy and postoperative outcomes.

Summary

The preoperative assessment of lung resection candidates must evaluate perioperative cardiorespiratory risk. The patient’s comorbidities should be optimized as time permits. A clear perioperative plan should be established and may include cardiology consultation, prevention strategies for arrhythmias, preoperative pulmonary rehabilitation, smoking cessation, intensive perioperative monitoring, and enhanced recovery protocols.

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Titel: Preoperative Evaluation for Lung Resection Surgery
verfasst von: Alonso Blanch
Florin Costescu
Peter Slinger
Publikationsdatum: 17.03.2020
Verlag: Springer US
Erschienen in: Current Anesthesiology Reports / Ausgabe 2/2020
Elektronische ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-020-00376-8

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Preoperative Evaluation for Lung Resection Surgery

Abstract

Purpose of Review

Recent Findings

Summary

Neu im Fachgebiet AINS

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Hochrisiko-Eingriffe für postoperative Übelkeit

Diclofenac-Gel versus Ibuprofen bei akuten Rückenschmerzen

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

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