TY - CHAP M1 - Book, Section TI - Chapter 9. Preoperative Risk Stratification of the Thoracic Surgical Patient A1 - Ficke, David J. A1 - Klafta, Jerome M. A2 - Barbeito, Atilio A2 - Shaw, Andrew D. A2 - Grichnik, Katherine PY - 2012 T2 - Thoracic Anesthesia AB - All patients being considered for lung resection should have pulmonary function tests including spirometry and a DLCO (diffusing capacity of the lung for carbon monoxide) test, from which the predicted postoperative values are calculated. If the results are unfavorable, a measure of exercise capacity or peak oxygen consumption should be obtained.Cardiac evaluation of the thoracic surgical patient should include surgeons, anesthesiologists, and cardiologists. Higher levels of perioperative risk may be acceptable because of the potential curative benefit of surgery for non-small-cell lung cancer.A thorough history of cancer therapy that considers chemotherapy, radiation, and an evaluation of the paraneoplastic effects of the cancer identifies other potential perioperative vulnerabilities. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/24 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=56783531 ER -