Impact of Integrative Cardiopulmonary Exercise Testing (29)
(4) For Preoperative Evaluation
Evidence suggests that preoperative integrative cardiopulmonary exercise testing may identify patients undergoing thoracotomy and lung resection who have an increased likelihood of postoperative complications. The conditions of these patients may not be detected with usual screening tests such as a resting electrocardiogram or pulmonary function tests. Conversely, a preoperative exercise test may indicate that a suspected high-risk patient may safely undergo surgery if adequate cardiopulmonary reserve is identified. Preoperative exercise testing may benefit other patients with suspected heart and lung disease, but to our knowledge, evidence for this has not been obtained. ventolin 100 mcg
What Questions About Integrative Cardiopulmonary Exercise Testing Should Be Addressed at This Time?
The physiologic basis for integrative cardiopulmonary exercise testing is well established, while the clinical basis for such testing is fast becoming established. This process can be expedited in several ways. First, methodology should be clearly reported in studies describing clinical uses. These include the methods of measuring gas exchange and the type of exercise protocol employed. A potential advantage would be the adoption of standard protocols for treadmill and cycle exercise and the standardized reporting of patient effort and symptoms, including the separation of fatigue, dyspnea, and discomfort.