title: Respiratory effects of surgery and pulmonary function testing in the preoperative evaluation.
abstract: Advanced age, smoking habit, obesity or malnutrition, the coexistence of hypercapnia, bronchospasm or bronchial hypersecretion, the lack of pre-operative preparation and/or a prolonged duration of anaesthesia can negatively influence respiratory function in patients undergoing abdominal or thoracic surgery. Spirometric testing of pulmonary function is recommended in patients with a history of tobacco use or dyspnoea who are considered for cardiac or upper abdominal surgery and for all patients who are candidated for lung resection. Spirometry can provide cut-off values of acceptable risk in patients that are candidated for abdominal and thoracic surgery. At-risk patients having resective lung surgery should undergo a split lung function study with quantitative lung scanning or computed tomography in order to estimate the function of residual parenchyma after surgery. In patients with borderline estimated values, a cardiopulmonary exercise test is useful to further stratify surgical risk.(www.actabiomedica.it)
authors.affiliation: Department of Clinical Sciences, Section of Respiratory Diseases, University of Parma, Parma, Italy. chetta@unipr.it
authors.forename: Alfredo
authors.initials: A
authors.lastname: Chetta
authors.forename: Panagiota
authors.initials: P
authors.lastname: Tzani
authors.forename: Emilio
authors.initials: E
authors.lastname: Marangio
authors.forename: Paolo
authors.initials: P
authors.lastname: Carbognani
authors.forename: Antonio
authors.initials: A
authors.lastname: Bobbio
authors.forename: Dario
authors.initials: D
authors.lastname: Olivieri
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000367:Age Factors; D000368:Aged; D001986:Bronchial Spasm / Q000150:complications; D015331:Cohort Studies; D004630:Emergencies; D005080:Exercise Test; D006801:Humans; D006935:Hypercapnia / Q000150:complications; D044342:Malnutrition / Q000150:complications; D009765:Obesity / Q000150:complications; D011300:Preoperative Care; D012119:Respiration; D012129:Respiratory Function Tests; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D013147:Spirometry; D019616:Thoracic Surgical Procedures; D013997:Time Factors