Document Detail

Pulmonary function tests in preoperative pulmonary evaluation.
MedLine Citation:
PMID:  15250224     Owner:  NLM     Status:  MEDLINE    
Pulmonary function testing (PFT) has been used to evaluate the risk for postoperative complications since the 1950s. PFT including spirometry, lung volumes, diffusing capacity, oximetry, and arterial blood gases has been used to assess the postoperative risk of lung resection. In selected cases, additional evaluation may include radionuclide lung scanning, exercise testing, invasive pulmonary hemodynamic measurements, and risk stratification analysis. A new index, predicted postoperative product (PPP), was found to have strong predictive ability for mortality. We defined a new useful index, measured product (MP), to predict postoperative complications; MP had similar advantages of PPP. Since diffusing capacity at rest has been shown to be a good predictor of postoperative complications following lung resection, and since exercise testing has been also useful in preoperative evaluation prior to lung resection, we reasoned that evaluation of the effect of exercise on diffusing capacity would be helpful to evaluate the ability of the pulmonary capillary bed to expand and increase its capacity to transfer gas during exercise.
Jeng-Shing Wang
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Respiratory medicine     Volume:  98     ISSN:  0954-6111     ISO Abbreviation:  Respir Med     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-14     Completed Date:  2004-09-09     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8908438     Medline TA:  Respir Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  598-605     Citation Subset:  IM    
Section of Respiratory Medicine, E-Da Hospital & I-Shou University, Kaohsiung, Taiwan.
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MeSH Terms
Exercise Test / methods
Pneumonectomy / adverse effects*
Postoperative Complications / prevention & control
Preoperative Care / methods*
Pulmonary Diffusing Capacity
Respiratory Function Tests / methods
Risk Factors

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