The Benefits of Pre-Assessment with Cardio-Pulmonary Exercise Testing

2010 ◽  
Vol 20 (5) ◽  
pp. 173-176 ◽  
Author(s):  
Shirley Collier
Keyword(s):  
High Risk ◽  
Case Studies ◽  
Exercise Testing ◽  
Major Surgery ◽  
Patient Case ◽  
Local Practice ◽  
High Risk Patients ◽  
Co Morbidity ◽  
Risk Patients

This article reviews the benefits of pre-assessment with cardio-pulmonary exercise testing (CPX) and the effectiveness of preoperative interventions in high-risk patients undergoing major surgery. Three patient case studies will be presented from local practice, to give examples of how patients' co-morbidity has been improved prior to surgery or how decisions for surgery can be modified as a result of the CPX test.

scholarly journals Oxygen delivery optimization using lithium indicator dilution and pulse power analysis during major surgery in high-risk patients

Critical Care ◽  
2007 ◽  
Vol 11 (Suppl 2) ◽  
pp. P305
Author(s):  
S Lobo ◽  
N Oliveira ◽  
F Lobo ◽  
E Rezende ◽  
B Borges ◽  
...  
Keyword(s):  
High Risk ◽  
Oxygen Delivery ◽  
Power Analysis ◽  
Indicator Dilution ◽  
Pulse Power ◽  
Major Surgery ◽  
High Risk Patients ◽  
Risk Patients

Exercise Testing in Evaluating High-risk Patients for Resection

CHEST Journal ◽  
1994 ◽  
Vol 105 (5) ◽  
pp. 1617 ◽  
Author(s):  
James W. Adams ◽  
Patrick B. Hazard
Keyword(s):  
High Risk ◽  
Exercise Testing ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals A novel use of cement as a salvage procedure in patients with complex spinal injuries with proximal junctional failure

2018 ◽  
Vol 100 (6) ◽  
pp. e154-e157 ◽  
Author(s):  
K Divani ◽  
S Selvadurai ◽  
S Molloy
Keyword(s):  
High Risk ◽  
Major Surgery ◽  
Salvage Procedure ◽  
Proximal Junctional Kyphosis ◽  
High Risk Patients ◽  
Pain Scores ◽  
Risk Patients ◽  
Life Threatening ◽  
Proximal Junctional Failure ◽  
Junctional Kyphosis

Long-construct fixations can be complicated by proximal junctional kyphosis. In elderly, high-risk patients with numerous comorbidities, lengthy surgical times and increased blood loss associated with revision osteotomies and extension of fusions are not often tolerated and pose serious life-threatening risks. We present a salvage technique used in a patient with proximal junctional failure and demonstrate its role in improving symptoms and functionality in those not deemed fit for major surgery. Pre- and postoperative pain scores in accordance with the visual analogue scale, walking distances and radiographs were reviewed in a patient who underwent the salvage technique to ascertain the subjective and objective difference in pain and functionality. The patient showed marked improvement in pain scores and walking distances postoperatively. Additionally, the degree of proximal junctional kyphosis was lower on postoperative radiographs. While holding risks of its own, our described technique can be performed in select cases and is a good salvage procedure in high-risk patients. It prevents their exposure to the risks that accompany large revision operations and fusion models with further potential to fail. We recommend that our technique is performed only at specialist centres.

Exercise Testing in Evaluating High-risk Patients for Resection

CHEST Journal ◽  
1994 ◽  
Vol 105 (5) ◽  
pp. 1617-1618
Author(s):  
David P. Meeker ◽  
Thomas W. Rice
Keyword(s):  
High Risk ◽  
Exercise Testing ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals 133 HIGH RISK PATIENTS AND EXERCISE TESTING: A STEP TOWARDS NICE GUIDANCE:

Heart ◽  
2013 ◽  
Vol 99 (suppl 2) ◽  
pp. A79.1-A79
Author(s):  
B Wrigley ◽  
H Gaunt ◽  
A Gershlick
Keyword(s):  
High Risk ◽  
Exercise Testing ◽  
High Risk Patients ◽  
Nice Guidance ◽  
Risk Patients
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