Preoperative assessment for pulmonary resection

Preoperative anesthetic assessment prior to chest surgery is a continually evolving science and art. Recent advances in anesthetic management, surgical techniques and perioperative care have expanded the envelope of patients now considered to be “operable”. This seminar is an update on preanesthetic assessment for pulmonary resection surgery in cancer patients. The principles described will apply to all other types of non-malignant pulmonary resections and to other chest surgery. The major difference is that in patients with malignancy the risk/benefit ratio of canceling or delaying surgery pending other investigation/therapy is always complicated by the risk of further spread of cancer during any extended interval prior to resection. This is never completely “elective” surgery.

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