PULMONARY RESECTION

 

  1. PFTS- FEV1, DLCO > 60%?
    1. YES OR
    2. NO Quant V/Q Scan
  2. Quant V/Q Scan- predicted FEV1 and DLCO > 35-40%?
    1. YES OR
    2. NO CPET
  3. CPET- VO2max > 15-20 ml/kg/min?
    1. YES OR
    2. NO NO OR

 

Post laparotomy:

  1. FVC decreases ~50% for first few days
  2. pO2 drops ~12mmHg

 

Post cardiac surgery:

  1. ARDS 2%
  2. FVC drops ~60%
  3. MIP drops 17%
  4. MEP drops 47%