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  • Title: Preoperative pulmonary evaluation of the thoracic surgical patient.
    Author: Kaza AK, Mitchell JD.
    Journal: Thorac Surg Clin; 2005 May; 15(2):297-304. PubMed ID: 15999527.
    Abstract:
    Fig. 2 is an algorithm for the preoperative pulmonary evaluation of the lung resection candidate. Patients should undergo routine spirometry and diffusion capacity testing. If the FEV1 and DLCO are greater than 80% predicted, no further study is needed. When these parameters are less than 80%, some estimation of postoperative function is likely needed, taking into account the proposed resection. Patients with ppoFEV1 or ppoDLCO less than 40% are at increased risk of perioperative complications or death and should undergo formal exercise testing. A VO2max or ppoVO2max less than 10 mL/kg/min is associated with prohibitive risk for anatomic lung resection, and alternative treatment modalities should be considered.
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