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Thoracics pre-op workup
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Pre-op * Quit smoking 4-8 weeks pre-op to reduce incidence of complications (minimum 2 weeks) * RFTs ** FEV1 > 60% can generally tolerate an anatomic lobectomy ** Predicted post-op FEV1 can be estimated - those with 35-40% should tolerate the operation. Any less and high risk of pulmonary complications. ** DLCO - diffusing capacity measured via transfer of carbon monoxide from inspired air to the bloodstream ** Quantitative radionucleotide lung perfusion measures the relative function of each lobe ** Post-op * Incentive spirometry * Early mobilisation * Good pain control * Nasal BIPAP for those with OSA [[Category:Thoracics]]
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