Pulmonary function tests in anaesthetic practice

Ntima, N.O.; Lumb, Andrew B

doi:10.1016/j.bjae.2019.02.001

Cited by 6 publications

(5 citation statements)

References 20 publications

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“…Some suggested getting a baseline pulmonary status with pulmonary function testing. 6,9 However, given that a preoperative PFT is not predictive of postoperative pulmonary complications and of the need for postoperative ventilatory support, 10,11 the team decided not to delay the surgery to obtain a pulmonary function test. In addition, PFT is more useful in monitoring treatment response.…”

Section: Discussionmentioning

confidence: 99%

Anesthesia Spearheading Perioperative Safety Efforts in a Patient with Inclusion Body Myositis: A Case Report

Aspi, MD,

Arancon, MD, MBA

2024

Acta Med Philipp

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Anesthesiologists have been at the forefront of initiatives addressing perioperative patient safety. As anesthesia has no direct therapeutic benefit, its risk must be minimized. At times the surgery is simple but the patient’s condition complicates anesthetic management, increasing the risk for complications. This report describes the anesthetic management of an adult patient diagnosed with inclusion body myositis (IBM), a rare inflammatory degenerative myopathy, who initially presented with decreased motor function in both lower and upper extremities causing him to be bedbound for two years. Due to the progression of his disease, he eventually developed dysphagia, hence he was scheduled for esophagoscopy, cricopharyngeal Botox injection, and percutaneous endoscopic gastrostomy. As patients with IBM are at risk for exaggerated sensitivity to neuromuscular blockers and respiratory compromise, anesthesia was at the helm of a multidisciplinary team approach. The perioperative management centered on preoperative optimization, prevention of aspiration, avoidance of anesthetics that may trigger malignant hyperthermia, and prevention of postoperative pulmonary complication. The hospital course was uncomplicated and the patient was discharged well after one day. This report emphasizes how improvements in resources, technology, and healthcare delivery, especially in anesthesia, help prevent perioperative adverse events.

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Section: Discussionmentioning

confidence: 99%

Anesthesia Spearheading Perioperative Safety Efforts in a Patient with Inclusion Body Myositis: A Case Report

Aspi, MD,

Arancon, MD, MBA

2024

Acta Med Philipp

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“…The routine preoperative work up must include anatomical and vascular assessment with high resolution computed tomography (CT) and magnetic resonance imaging (MRI) when considered appropriate ( 4 ) and pulmonary function tests to evaluate the risk of pulmonary postoperative complications, especially if a lung resection may be necessary ( 30 ). Combined positron emission tomography/CT (PET-CT) may help to determine if intra or extra-thoracic metastasis are present.…”

Section: Current Literature Review and Discussionmentioning

confidence: 99%

The role of minimally invasive surgery in the management of giant mediastinal tumors: a narrative review

2022

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Background and Objective Beyond diagnosis, minimally invasive surgery has traditionally not been considered suitable for large tumors, those invading vital structures or high-risk patients. However, with the improvement of multimodality treatments able to reduce tumor size preoperatively, patient evaluation and selection, perioperative care (including both surgical and anesthesiological techniques) and postoperative management, the indications of minimally invasive surgery, even in giant mediastinal tumors, have increased and will continue to broaden in future years. This review aims to summarize the existing literature regarding the role of minimally invasive surgery in the management of giant mediastinal tumors. We have focused in the role minimally invasive surgery has in diagnosis and treatment of these tumors and we have tried to provide an updated perspective to identify future applications and work-directions. Methods Data regarding minimally invasive surgery in giant mediastinal tumors are limited, including a proper definition of them. We performed a PubMed search of English and Spanish written studies until August 2021. Key Content and Findings There is limited data related to minimally invasive surgery in giant mediastinal tumors and much of the literature review we have performed has yielded isolated case reports, case series with a low number of cases or editorials. Although the role of minimally invasive surgery is well consolidated as a diagnostic approach, adequate patient selection, hospital volume and experience, multidisciplinary discussion of candidates, patient safety and adequate oncological resection remain the most important aspects to be taken into account when considering a minimally invasive approach for a giant mediastinal tumor. Conclusions With careful and multidisciplinary perioperative planning, minimally invasive surgery has shown to be safe and to provide at least similar outcomes when compared to open approaches in well selected cases. Although data is still limited, improved surgical techniques and available technology will pave the way to increased indications of minimally invasive surgery in giant mediastinal tumors.

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“…Of the various existing tests to assess respiratory mechanics, the most studied to determine the appearance of PPC after lung resection is the Postoperative Forced Expiratory Volume in 1 second (FEV 1 pop) [42]. The most commonly used formula is based on the lung segments resected and the percentage of FEV 1 provided by each lung [14,43]. Calculating the percentage of pop FEV 1 is radically important because, according to the percentage obtained, our patient can be extubated without problems in the operating room or will have to undergo rehabilitation therapy or even be transferred to intubated intensity therapy to condition the patient's of relating any data with that of the population from which it comes, especially in those that are absolute values and not a percentage with respect to the theoretical, and specifically in the FEV 1 / FVC ratio, although it has also been used with FVC, FEV 1 , and total lung capacity [54].…”

Section: Operability and Resectability Criteriamentioning

confidence: 99%

Spirometry: A Test Underestimated by the Anesthesiologist

Pérez¹,

Fernández²,

Escarramán-Martínez³

et al. 2023

J Med Res Surg

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Spirometry is a lung function test, whose main objective is to evaluate lung mechanics. It is a test that is currently easily accessible, but little used by anesthesiologists. One cause may be that they are not familiar with the analysis and understanding of said test or the lack of a pulmonary physiology laboratory in their hospitals. The proper analysis and understanding of this test by the general and thoracic anesthetist offers a range of possibilities both for the perioperative evaluation of the patient with pulmonary pathology or the one who will undergo thoracic surgery. Having a great impact by influencing the prognosis and management of these patients.

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Pulmonary function tests in anaesthetic practice

Cited by 6 publications

References 20 publications

Anesthesia Spearheading Perioperative Safety Efforts in a Patient with Inclusion Body Myositis: A Case Report

Anesthesia Spearheading Perioperative Safety Efforts in a Patient with Inclusion Body Myositis: A Case Report

The role of minimally invasive surgery in the management of giant mediastinal tumors: a narrative review

Spirometry: A Test Underestimated by the Anesthesiologist

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