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Preoperative Assessment of Thoracic Surgery Patient

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Clinical Thoracic Anesthesia

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Abstract

The goals of preoperative assessment of a patient presenting for thoracic surgery is primarily to identify patients at high risk for developing perioperative morbidity and secondarily to institute appropriate management protocols to reduce the risk.

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References

  1. Chakraborty AK. Epidemiology of tuberculosis: current status in India. Indian J Med Res. 2004;120(4):248–76.

    CAS  PubMed  Google Scholar 

  2. Yazbeck MF, Dahdel M, Kalra A, Browne AS, et al. Lung abscess: update on microbiology and management. Am J Ther. 2014;21(3):217–21.

    Google Scholar 

  3. Herbst RS, Heymach JV, Lippman SM. Lung cancer. N Engl J Med. 2008;359(13):1367–80.

    Article  CAS  Google Scholar 

  4. Dubashi B, Cyriac S, Tenali SG. Clinicopathological analysis and outcome of primary mediastinal malignancies—A report of 91 cases from a single institute. Ann Thorac Med. 2009;4(3):140–2.

    Article  Google Scholar 

  5. Tulay CM, Özsoy IE. Spontaneous pneumothorax recurrence and surgery. Indian J Surg. 2015;77(Suppl 2):463–5.

    Article  CAS  Google Scholar 

  6. Trotman-Dickenson B. Cystic lung disease: achieving a radiologic diagnosis. Eur J Radiol. 2014;83(1):39–46.

    Article  Google Scholar 

  7. Colice GL, Shafazand S, Griftin JP, et al. Physiologic evaluation of the patient with lung considered for resectional surgery. ACCP evidenced based clinical prochiegindelunes (2nd Edition). Chest 2017; 132:161S–775.

    Google Scholar 

  8. Burke JR, Duarte IG, Thourani VH, et al. Preoperative risk assessment for marginal patients requiring pulmonary resection. Ann Thorac Surg. 2003;76(5):1767–73.

    Google Scholar 

  9. Licker MJ, Widikker I, Robert J, et al. Operative mortality and respiratory complications after lung resection for cancer: impact of chronic obstructive pulmonary disease and time trends. Ann Thorac Surg. 2006;81(5):1830–7.

    Google Scholar 

  10. Wright CD, Gaissert HA, Grab JD, et al. Predictors of prolonged length of stay after lobectomy for lung cancer: a Society of Thoracic Surgeons General Thoracic Surgery Database risk-adjustment model. Ann Thorac Surg. 2008;85(6):1857–65.

    Google Scholar 

  11. Terasaki G, Paauw DS. Evaluation and treatment of chronic cough. Med Clin North Am. 2014;98(3):391–403.

    Article  Google Scholar 

  12. Irwin RS, Baumann MH, Bolser DC, et al. Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl):1S–23S.

    Google Scholar 

  13. Rabe KF, Watz H. Chronic obstructive pulmonary disease. Lancet. 2017;389(10082):1931–40.

    Article  Google Scholar 

  14. Lee RW, Hodgson LE, Jackson MB, et al. Problem based review: pleuritic chest pain. Acute Med. 2012;11(3):172–82.

    Google Scholar 

  15. Hammerschmidt S, Wirtz H. Lung cancer: current diagnosis and treatment. Dtsch Arztebl Int. 2009;106(49):809–18.

    PubMed  PubMed Central  Google Scholar 

  16. Walter FM, Rubin G, Bankhead C, et al. Symptoms and other factors associated with time to diagnosis and stage of lung cancer: a prospective cohort study. Br J Cancer. 2015;112(Suppl 1):S6–13.

    Google Scholar 

  17. Allan N, Siller C, Breen A. Anaesthetic implications of chemotherapy. Continuing education in anaesthesia. Crit Care Pain 2012; 12:52–6.

    Google Scholar 

  18. O’Neill F, Carter E, Pink N, et al. Routine preoperative tests for elective surgery: summary of updated NICE guidance. BMJ. 2016;354:i3292.

    Google Scholar 

  19. Whitten CR, Khan S, Munneke GJ, et al. A diagnostic approach to mediastinal abnormalities. Radiographics. 2007;27(3):657–71.

    Google Scholar 

  20. Slmger O, Darling G. Preanesthetic assessment to thoracic surgery. In: Slinger P, editor. Principles and practice of anesthesia for thoracic surgery. New York: Springer; 2011, p. 11–34.

    Google Scholar 

  21. Culver BH. Preoperative assessment of the thoracic surgery patient: pulmonary function testing. Semin Thorac Cardiovasc Surg. 2001;13(2):92–104.

    Article  CAS  Google Scholar 

  22. British Thoracic Society; Society of Cardiothoracic Surgeons of Great Britain and Ireland Working Party. BTS guidelines: guidelines on the selection of patients with lung cancer for surgery. Thorax. 2001;56(2):89–108.

    Article  Google Scholar 

  23. Colice GL, Shafazand S, Griffin JP, et al. American College of Chest Physicians. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: ACCP evidenced-based clinical practice guidelines (2nd edition). Chest. 2007;132(3 Suppl):161S–77S.

    Google Scholar 

  24. Win T, Jackson A, Sharples L, et al. Relationship between pulmonary function and lung cancer surgical outcome. Eur Respir J. 2005;25(4):594–9.

    Google Scholar 

  25. Brunelli A, Rocco G. Spirometry: predicting risk and outcome. Thorac Surg Clin. 2008;18(1):1–8.

    Article  Google Scholar 

  26. Weisman IM. Cardiopulmonary exercise testing in the preoperative assessment for lung resection surgery. Semin Thorac Cardiovasc Surg. 2001;13(2):116–25.

    Article  CAS  Google Scholar 

  27. Brunelli A, Al Refai M, Monteverde M, et al. Stair climbing test predicts cardiopulmonary complications after lung resection. Chest. 2002;121(4):1106–10.

    Google Scholar 

  28. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111–7.

    Article  Google Scholar 

  29. Win T, Jackson A, Groves AM, et al. Relationship of shuttle walk test and lung cancer surgical outcome. Eur J Cardiothorac Surg. 2004;26(6):1216–9.

    Google Scholar 

  30. Win T, Laroche CM, Groves AM, et al. Use of quantitative lung scintigraphy to predict postoperative pulmonary function in lung cancer patients undergoing lobectomy. Ann Thorac Surg. 2004;78(4):1215–8.

    Google Scholar 

  31. Wu MT, Pan HB, Chiang AA, et al. Prediction of postoperative lung function in patients with lung cancer: comparison of quantitative CT with perfusion scintigraphy. AJR Am J Roentgenol. 2002;178(3):667–72.

    Google Scholar 

  32. Ohno Y, Koyama H, Nogami M, et al. Postoperative lung function in lung cancer patients: comparative analysis of predictive capability of MRI, CT, and SPECT. AJR Am J Roentgenol. 2007;189(2):400–8.

    Google Scholar 

  33. Brunelli A, Kim AW, Berger KI, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143(5 Suppl):e166S–90S.

    Google Scholar 

  34. Benumof Jl, Alfery DD. Anaesthesia for thoracic surgery. In: Miller RD, Cucbiara EF, Millar ED, et al. editors. Anaesthesia, 5th edn. Philadelphia, PA: Churchill Livingstone; 2000; p. 1665–752.

    Google Scholar 

  35. Peters RM. The role of limited resection in carcinoma of the lung. Am J Surg. 1982;143(6):706–10.

    Article  CAS  Google Scholar 

  36. Daye J, Boatman D, Peters C, et al. Brilakis ES. Perioperative risk of patients undergoing noncardiac surgery after coronary artery bypass surgery. J Investig Med. 2008;56(6):878–81.

    Google Scholar 

  37. Prokakis C, Koletsis E, Apostolakis E, et al. Combined heart surgery and lung tumor resection. Med Sci Monit. 2008;14(3):CS17–21.

    Google Scholar 

  38. Brunelli A, Varela G, Salati M, et al. Recalibration of the revised cardiac risk index in lung resection candidates. Ann Thorac Surg. 2010;90(1):199–203.

    Google Scholar 

  39. Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999;100(10):1043–9.

    Google Scholar 

  40. Frendl G, Sodickson AC, Chung MK, et al. American Association for Thoracic Surgery. 2014 AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures. J Thorac Cardiovasc Surg. 2014;148(3):e153–93.

    Google Scholar 

  41. January CT, Wann LS, Alpert JS, et al. American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2014;64(21):e1–76.

    Google Scholar 

  42. Lee SM, Landry J, Jones PM, et al. The effectiveness of a perioperative smoking cessation program: a randomized clinical trial. Anesth Analg. 2013;117(3):605–13.

    Google Scholar 

  43. Cazzola M, Page CP, Calzetta L, et al. Pharmacology and therapeutics of bronchodilators. Pharmacol Rev. 2012;64(3):450–504.

    Google Scholar 

  44. Chopra SK, Taplin GV, Simmons DH, et al. Effects of hydration and physical therapy on tracheal transport velocity. Am Rev Respir Dis. 1977;115(6):1009–14.

    Google Scholar 

  45. Varela G, Novoa NM, Agostini P, et al. Chest physiotherapy in lung resection patients: state of the art. Semin Thorac Cardiovasc Surg. 2011;23(4):297–306.

    Google Scholar 

  46. POISE Study Group, Devereaux PJ, Yang H, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet. 2008;371(9627):1839–47.

    Google Scholar 

  47. Riber LP, Christensen TD, Jensen HK, et al. Amiodarone significantly decreases atrial fibrillation in patients undergoing surgery for lung cancer. Ann Thorac Surg. 2012;94(2):339–44.

    Google Scholar 

  48. Amar D, Roistacher N, Burt ME, et al. Effects of diltiazem versus digoxin on dysrhythmias and cardiac function after pneumonectomy. Ann Thorac Surg. 1997;63(5):1374–81.

    Google Scholar 

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Authors and Affiliations

  1. Institute of Anaesthesiology, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India

    Jayashree Sood & Nitin Sethi

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  1. Jayashree Sood
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  2. Nitin Sethi
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Editors and Affiliations

  1. Institute of Anaesthesiology, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India

    Jayashree Sood

  2. Institute of Anaesthesiology, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India

    Shikha Sharma

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Sood, J., Sethi, N. (2020). Preoperative Assessment of Thoracic Surgery Patient. In: Sood, J., Sharma, S. (eds) Clinical Thoracic Anesthesia. Springer, Singapore. https://doi.org/10.1007/978-981-15-0746-5_6

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  • DOI: https://doi.org/10.1007/978-981-15-0746-5_6

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0745-8

  • Online ISBN: 978-981-15-0746-5

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