Document Detail


Preoperative spirometry versus expired gas analysis during exercise testing as predictors of cardiopulmonary complications after lung resection.
MedLine Citation:
PMID:  14745608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: As cardiopulmonary load increases with the amount of lung resected, to perform surgery safely it is important to be able to predict cardiopulmonary insufficiency. However, lung function testing with spirometry and blood gas analysis does not accurately measure cardiopulmonary reserve. We conducted this study to evaluate expired gas analysis during exercise testing for predicting postoperative complications after lung resection. METHODS: Expired gas analysis during exercise and spirometry were done 1 week preoperatively in 211 patients who underwent pulmonary resection for lung cancer. Patients were divided postoperatively according to whether cardiopulmonary complications were absent (group A) or present (group B). RESULTS: In group B there were more men than women (P < 0.01), and the mean age was greater (P < 0.05). There was no difference in disease stage, but more patients underwent pneumonectomy in group B than in group A ( P < 0.005). The results of expired gas analysis during exercise testing and of spirometry showed that maximum oxygen uptake/m(2) (P < 0.0005), anaerobic threshold/m(2) (P < 0.01), vital capacity (VC)/m(2) (P < 0.005), %VC (P < 0.0001), forced expiratory volume in 1 s (FEV(1.0))/m(2) (P < 0.0001), and FEV(1.0%) (P < 0.05) were lower in group B than in group A. CONCLUSIONS: The combination of expired gas analysis during exercise and conventional pulmonary function tests identified patients at risk for postoperative cardiopulmonary complications following pulmonary resection.
Authors:
Yoshinori Nagamatsu; Ichirou Shima; Akihiro Hayashi; Hideaki Yamana; Kazuo Shirouzu; Tatsuya Ishitake
Related Documents :
14681718 - Mild dehydration: a risk factor of broncho-pulmonary disorders?
10701708 - Airflow limitation and control of end-expiratory lung volume during exercise.
9445308 - Hyperventilation induces release of cytokines from perfused mouse lung.
4069808 - Exponential analysis of the lung pressure-volume curve in newborn mammals.
1470228 - Cardiac effects of r 79595 and its isomers (r 80122 and r 80123) in an acute heart fail...
12378658 - Alveolar and serum oxidative stress in ventilator-associated pneumonia.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  34     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2004  
Date Detail:
Created Date:  2004-01-27     Completed Date:  2004-05-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  107-10     Citation Subset:  IM    
Affiliation:
Department of Surgery, Saiseikai Yahata General Hospital, 5-9-27 Harunomachi, Yahatahigashi-ku, Kitakyushu, Fukuoka 805-5827, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Breath Tests*
Exercise Test*
Female
Humans
Lung Neoplasms / surgery
Male
Pneumonectomy*
Postoperative Complications / diagnosis*
Predictive Value of Tests
Preoperative Care
Spirometry*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Microscopic tumor cell dissemination in gastric cancer.
Next Document:  Management of traumatic diaphragmatic rupture.