[Preoperative evaluation of respiratory function in thoracic surgery. Do reliable predictive criteria exist in that type of surgery?].
A cautions analysis of the respiratory preoperative study may decrease morbidity and mortality after pulmonary surgery. To search for predictive criteria of respiratory complications following this kind of surgery, 454 patients have been studied retrospectively. Morbidity was defined as the need for postoperative ventilation. Preoperative criteria were divided in clinical (age, obesity, history of pulmonary disease, dyspnea, score of Karnofsky), laboratory (blood gases, spirometry) and surgical (kind of procedure). Three criteria were significant for morbidity (15 ventilated patients) and mortality (27 deaths): age (> 65 years), obesity, hypocapnia (pCO2 < 4.1 kPa-31 mmHg). Analysed spirometric values were no significant.
Beaufils-Leblanc
C
C
Département d'anesthésie réanimation, Hôpital du Bocage Dijon.
Brachet
A
A
Manuelian
M
M
Bernard
A
A
Lançon
J P
JP
D000367:Age Factors; D000368:Aged; D006801:Humans; D016857:Hypocapnia / Q000503:physiopathology; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology; D011237:Predictive Value of Tests; D011300:Preoperative Care / Q000379:methods; D012119:Respiration; D012129:Respiratory Function Tests; D013903:Thoracic Surgery
Evaluation fonctionnelle ventilatoire pré-opératoire en chirurgie thoracique. Existe-t-il des critères de prédiction fiables dans ce type de chirurgie?