who needs preoperative pulmonary testing prior to noncardiothoracic surgery?
DESCRIPTION
Who needs preoperative PFTs and chest xray? I review the data to answer this question.TRANSCRIPT
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Who Needs Preoperative Pulmonary Testing Prior To Noncardiothoracic Surgery?
Terry Shaneyfelt, MD, MPHAssoc. Professor, UAB Department of Medicine
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Almost No One!
http://bit.ly/18F2MlK
“Preoperative spirometry and chest radiography should not be used routinely for predicting risk for postoperative pulmonary complications.” ACP guideline 2006
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Pulmonary Function Testing Isn’t Very Useful But The Data is Limited
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Chest Xrays Rarely Change Management
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• Preoperative PFTs should be limited to patients…• In whom clinical evaluation cannot determine if COPD
or asthma is at baseline and/or maximally optimized• Unexplained dyspnea• No FEV1 precludes surgery
• CXRs rarely influence management and should be limited to patients….• Known cardiopulmonary disease• ≥ 50 yrs of age undergoing upper abdominal, thoracic,
or AAA surgery
Summary