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[PMID]: | 29226712 |
[Au] Autor: | Vágvölgyi A; Rozgonyi Z; Vadász P; Varga JT |
[Ad] Endereço: | Mellkassebészeti Osztály, Országos Korányi Pulmonológiai Intézet Budapest. |
[Ti] Título: | [Risk stratification before thoracic surgery, perioperative pulmonary rehabilitation]. |
[Ti] Título: | A mellkassebészeti mutéti teherbíró képesség megítélése, perioperatív légzésrehabilitáció.. |
[So] Source: | Orv Hetil;158(50):1989-1997, 2017 Dec. | [Is] ISSN: | 0030-6002 |
[Cp] País de publicação: | Hungary |
[La] Idioma: | hun |
[Ab] Resumo: | INTRODUCTION: Besides the oncology and operative surgical technics, functional aspects influence the operability of lung cancer. Preoperative risk stratification, evaluation of postoperative complications needs to be considered. AIM: To review international literature and experiences of our institute. METHOD: We focused the literature of risk stratification of thoracic surgery. Lung function, lung mechanics, chest kinematics, exercise physiology were considered. Effectiveness of pulmonary rehabilitation for cardiovascular system, lung mechanics, muscles, exercise capacity and quality of life were evaluated. Laboratory parameters, comorbidities, obesity, cachexia, smoking cessation were considered. RESULTS: Elevated blood sugar, kidney function, reduced albumin level increased the risk. COPD, sleep apnoea, heart failure, obesity and cachexia influences the outcome. Smoking cessation may reduce postoperative complications. Controlled breathing technics, chest wall mobilization, training have favourable effects. Psychosocial support and dietetics are important. CONCLUSIONS: Risk stratification is supported by laboratory parameters, lung function, oxygen uptake and comorbidities. Pulmonary rehabilitation can improve functionality and quality of life. Orv Hetil. 2017; 158(50): 1989-1997. |
[Mh] Termos MeSH primário: |
Assistência Perioperatória/métodos Complicações Pós-Operatórias/prevenção & controle Procedimentos Cirúrgicos Torácicos
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[Mh] Termos MeSH secundário: |
Seres Humanos Neoplasias Pulmonares/cirurgia Terapia Respiratória/métodos Fatores de Tempo
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; REVIEW |
[Em] Mês de entrada: | 1802 |
[Cu] Atualização por classe: | 180213 |
[Lr] Data última revisão:
| 180213 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 171212 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1556/650.2017.30862 |
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