Preoperative assessment for pulmonary resection.
Because of recent advances in anesthesia and surgery, almost any patient with a resectable lung malignancy is now an operative candidate, given a full understanding of the risks and provided he or she is investigated appropriately. This progress necessitates a change in the paradigm that one uses for preoperative assessment. Understanding and stratifying the perioperative risks allows the anesthesiologist to develop a systematic focused approach to these patients at the time of the initial contact and immediately before induction, which then can be used to guide anesthetic management (Fig. 7).
Slinger
P D
PD
Departments of Anesthesia and Surgery, University of Toronto, University Health Network, Toronto, Ontario, Canada.
Johnston
M R
MR
D000758:Anesthesia; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008168:Lung / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000601:surgery; D010149:Postoperative Pain / Q000628:therapy; D011013:Pneumonectomy; D011183:Postoperative Complications; D011300:Preoperative Care; D013902:Radiography, Thoracic; D011877:Radionuclide Imaging; D012129:Respiratory Function Tests; D012140:Respiratory Tract Diseases / Q000175:diagnosis; D012307:Risk Factors