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Current Anesthesiology Reports
Erschienen in: Current Anesthesiology Reports 2/2014

01.06.2014 | Thoracic Anesthesia (T Schilling, Section Editor)

Preoperative Evaluation of Lung Cancer Patients

Erschienen in: Current Anesthesiology Reports | Ausgabe 2/2014

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Abstract

Preoperative assessment of patients scheduled for lung resection focuses on four main areas: cardiac risk, lung mechanical function, gas exchange capacity and cardio-pulmonary reserve. Physiological measurements of lung volumes and diffusion capacity combined with lung imaging studies are helpful to estimate postoperative pulmonary function. Maximal oxygen capacity and physical fitness are better predictors of major postoperative complications and long-term survival.
Fußnoten
2
DLCO = VCO/PACO where and 1/DLCO = 1/DM + 1/θ; Vc where DLCO = diffusion capacity; VCO = disappearance rate of CO; PACO = alveolar concentration of CO; Vc, capillary blood volume; θ, reaction rate with hemoglobin
 
3
Pneumonectomy: ppoFEV1 = preop FEV1 × (1−% radioactivity of the resected lung part). Lobectomy : ppoFEV1 = preop FEV1 × (%radioactivity of non-operated lung + %radioactivity of non-removed operated lung).
 
4
HR reserve (%) = (HRpeak exercise – HR at rest)/HRmax – HR at rest; HRmax = 220-age (years) in a healthy untrained 70-year-old male (height 170 cm, weight 70 kg), the estimated VO 2 max is 27.14 ml/kg/min.
 
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Metadaten
Titel
Preoperative Evaluation of Lung Cancer Patients
Publikationsdatum
01.06.2014
Erschienen in
Current Anesthesiology Reports / Ausgabe 2/2014
Elektronische ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-014-0049-6

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