PreOp Pulmonary Risk Factors

mild >2

mod 1.2-2

severe 0.8-1.2

Very severe <0.8

mild 65-80%

mod 50-65%

severe <50%

significant >46

INCR RISK OF PNEUMONECTOMY

VO2max significant <20ml/kg/min

pre-op FEV1 <2L, MVV <50%

pred post-op FEV1 <0.8L (40%)

THINGS TO DO:

smoking cessation

bronchodilators

steroids

Abx

CPT

Mucomyst,mucolytics,

oscillating nebulizer

flutter valve

IS

Deep breathing

cough technique

early mobilization

CPAP/BiPAP

Pain control, epidural ?

DVT prophylaxis

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