Evaluación preoperatoria y predictores de morbimortalidad en resección de cáncer de pulmón / Preoperative evaluation and predictors of mortality in lung cancer resection
Rev. méd. Chile
;
143(6): 759-766, jun. 2015. ilus, tab
Artículo
en Español
| LILACS
| ID: lil-753516
ABSTRACT
Surgical resection of lung cancer, the only available curative option today, is strongly associated with mortality. The goal during the perioperative period is to identify and evaluate appropriate candidates for lung resection in a more careful way and reduce the immediate perioperative risk and posterior disability. This is a narrative review of perioperative risk assessment in lung cancer resection. Instruments designed to facilitate decision-making have been implemented in recent years but with contradictory results. Cardiovascular risk assessment should be the first step before a potential lung resection, considering that most of these patients are old, smokers and have atherosclerosis. Respiratory mechanics determined by postoperative forced expiratory volume in the first second (FEV1), the evaluation of the alveolar-capillary membrane by diffusing capacity of carbon monoxide and cardiopulmonary function measuring the maximum O2 consumption, will give clues about the patient s respiratory and cardiac response to stress. With these assessments, the patient and its attending team can reach a treatment decision balancing the perioperative risk, the chances of survival and the pulmonary long-term disability.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Complicaciones Posoperatorias
/
Cuidados Preoperatorios
/
Neoplasias Pulmonares
Tipo de estudio:
Estudio de etiología
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2015
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Hospital Puerto Montt/CL
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