Protocol of Datta and Lahiri for Preoperative Evaluation of a Patient Undergoing Lung Resection Surgery

Description

Datta and Lahiri listed a protocol for evaluating a patient prior to lung resection surgery. This can help to identify patients who may benefit from alternative treatment options. The authors are from St. Francis Hospital & Medical Center in Hartford, Connecticut.

Testing that may be required:

(1) routine pulmonary function tests (PFT), including FEV1 and DLCO

(2) quantitative lung scan with estimate of post-operative pulmonary function

(3) exercise testing to measure VO2max

Routine PFT	Lung Scan with Post-Op Estimates	Exercise Testing	Take to Surgery?
FEV1 and DLCO >= 60% of predicted	NA	NA	Yes
FEV1 or DLCO <60% of predicted	postop FEV1 and DLCO >= 40% of predicted	NA	Yes
FEV1 or DLCO <60% of predicted	postop FEV1 and DLCO < 40% of predicted	VO2max >= 15 mL per kg per minute	Yes
FEV1 or DLCO <60% of predicted	postop FEV1 and DLCO < 40% of predicted	VO2max < 15 mL per kg per minute	Consider alternatives

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Description

Specialty

ICD-10