Preoperative Evaluation: Frailty Parameters, Preoperative Neoadjuvant Therapy—Indications for Postoperative Care Unit

Autor: F. de la Gala, Ignacio Garutti, G. Sanchez Pedrosa, Patricia Cruz
Rok vydání: 2020
Předmět:
Zdroj: Anesthesia in Thoracic Surgery ISBN: 9783030285272
Popis: Assessment for thoracic surgery in frail elderly patients requires careful evaluation to individualize the morbidity and mortality risk for each patient, and it is essential a meticulous approach that identifies modifiable conditions that can be optimized to improve the outcomes of high-risk patients. The Modified Frailty Index has been identified as an independent risk factor of morbidity and mortality in a cohort of patients submitted to thoracic surgery. Another circumstance, which could affect postoperative recovery, is the use of chemo and/or radiotherapy preoperative (neoadjuvant therapy). Lung impairment due to chemotherapy can range from acute toxicity to subclinical modifications and a decrease in DLCO has been described.
Databáze: OpenAIRE