Anesthesiology for thoracic surgery

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  • Anesthesiology for thoracic surgery
Patient (male, 55 yrs) is admitted to undergo elective lung lobectomy due to diagnosed adenocarcinoma located in the right lower lobe. No comorbidities are present. He is examined by an anesthesiologist before the surgery, who indicates therapeutical and diagnostical procedures in order to minimize peroperative and postoperative complications and to decide the type of intubation and anesthesia. Which preoperative examinations are important to carry out apart from those already performed?

Bronchomotoric tests, ECG, CXR.

Wrong answer

Combination of these tests represents an unnecessary burden for the patient considering its low interpretative value for this type of surgical procedure.


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Spiroergometry, bronchoscopy, ECG, echocardiography, CXR.

Wrong answer

Combination of these tests represents an unnecessary burden for the patient considering its low interpretative value for this type of surgical procedure.


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Spirometry, blood gases test, ventilation - perfusion left lung scan.

Correct answer

The results of these tests provide the best information about respiratory functions of the patient. They are inevitable for preparation of the patient, suitable premedication and the particular surgical procedure.


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ECG - electrocardiography, CXR - chest X-ray×
 
RR

12 bpm

HR

75 bpm

SpO2

not available

BP

139/85 mmHg

ECG

sinus rythm, regular pace, BPM 75 bpm, no signs of ischemia

Examination:
General practitioner - conclusion: patient is cardiopulmonary compensated, no cold present, capable to undergo surgical procedure.

CXR (description): On the CXR (P-A projection) a tumorous infiltration is localised in the right lower lobe projecting into the right lung hilum.

Gly

results

ABG

not available

CBC

results

biochemistry

not available