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Pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. A review of guidelines

Before planned surgical treatment of lung cancer, the patient's respiratory system function should be evaluated. According to the current guidelines, the assessment should start with measurements of FEV(1) (forced expiratory volume in 1 second) and DLco (carbon monoxide lung diffusion capacity)...

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Autores principales: Trzaska-Sobczak, Marzena, Skoczyński, Szymon, Pierzchała, Władysław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4283874/
https://www.ncbi.nlm.nih.gov/pubmed/26336435
http://dx.doi.org/10.5114/kitp.2014.45677
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author Trzaska-Sobczak, Marzena
Skoczyński, Szymon
Pierzchała, Władysław
author_facet Trzaska-Sobczak, Marzena
Skoczyński, Szymon
Pierzchała, Władysław
author_sort Trzaska-Sobczak, Marzena
collection PubMed
description Before planned surgical treatment of lung cancer, the patient's respiratory system function should be evaluated. According to the current guidelines, the assessment should start with measurements of FEV(1) (forced expiratory volume in 1 second) and DLco (carbon monoxide lung diffusion capacity). Pneumonectomy is possible when FEV(1) and DLco are > 80% of the predicted value (p.v.). If either of these parameters is < 80%, an exercise test with VO(2) max (oxygen consumption during maximal exercise) measurement should be performed. When VO(2) max is < 35 % p.v. or < 10 ml/kg/min, resection is associated with high risk. If VO(2) max is in the range of 35-75% p.v. or 10-20 ml/kg/min, the postoperative values of FEV(1) and DLco (ppoFEV(1), ppoDLco) should be determined. The exercise test with VO(2) max measurement may be replaced with other tests such as the shuttle walk test and the stair climbing test. The distance covered during the shuttle walk test should be > 400 m. Patients considered for lobectomy should be able to climb 3 flights of stairs (12 m) and for pneumonectomy 5 flights of stairs (22 m).
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spelling pubmed-42838742015-09-02 Pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. A review of guidelines Trzaska-Sobczak, Marzena Skoczyński, Szymon Pierzchała, Władysław Kardiochir Torakochirurgia Pol Anaesthesiology and Intensive Care Before planned surgical treatment of lung cancer, the patient's respiratory system function should be evaluated. According to the current guidelines, the assessment should start with measurements of FEV(1) (forced expiratory volume in 1 second) and DLco (carbon monoxide lung diffusion capacity). Pneumonectomy is possible when FEV(1) and DLco are > 80% of the predicted value (p.v.). If either of these parameters is < 80%, an exercise test with VO(2) max (oxygen consumption during maximal exercise) measurement should be performed. When VO(2) max is < 35 % p.v. or < 10 ml/kg/min, resection is associated with high risk. If VO(2) max is in the range of 35-75% p.v. or 10-20 ml/kg/min, the postoperative values of FEV(1) and DLco (ppoFEV(1), ppoDLco) should be determined. The exercise test with VO(2) max measurement may be replaced with other tests such as the shuttle walk test and the stair climbing test. The distance covered during the shuttle walk test should be > 400 m. Patients considered for lobectomy should be able to climb 3 flights of stairs (12 m) and for pneumonectomy 5 flights of stairs (22 m). Termedia Publishing House 2014-09-28 2014-09 /pmc/articles/PMC4283874/ /pubmed/26336435 http://dx.doi.org/10.5114/kitp.2014.45677 Text en Copyright © 2014 http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Anaesthesiology and Intensive Care
Trzaska-Sobczak, Marzena
Skoczyński, Szymon
Pierzchała, Władysław
Pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. A review of guidelines
title Pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. A review of guidelines
title_full Pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. A review of guidelines
title_fullStr Pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. A review of guidelines
title_full_unstemmed Pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. A review of guidelines
title_short Pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. A review of guidelines
title_sort pulmonary function tests in the preoperative evaluation of lung cancer surgery candidates. a review of guidelines
topic Anaesthesiology and Intensive Care
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4283874/
https://www.ncbi.nlm.nih.gov/pubmed/26336435
http://dx.doi.org/10.5114/kitp.2014.45677
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