who needs preoperative pulmonary testing prior to noncardiothoracic surgery?
Post on 07-May-2015
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Who Needs Preoperative Pulmonary Testing Prior To Noncardiothoracic Surgery?
Terry Shaneyfelt, MD, MPHAssoc. Professor, UAB Department of Medicine
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
Pulmonary Function Testing Isn’t Very Useful But The Data is Limited
Chest Xrays Rarely Change Management
• 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
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