1973
DOI: 10.1055/s-0028-1098674 View full text |Buy / Rent full text
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Abstract: Vor einer geplanten Lungenresektion muß grundsätzlich eine Lungenfunktionsuntersuchung durchgeführt werden. Sie soll Aussagen über die Resektionstoleranz und über das Komplikationsrisiko ermöglichen. Die Indikation zu funktionsverbessernden Thoraxoperationen, wie Dekortikation oder Bullektomie, hängt geradezu vom Ergebnis der Funktionsanalyse ab. Für die präoperative Untersuchung wird ein Stufenprogramm vorgeschlagen, das mit der Messung einfacher spirographischer Werte beginnt. Je nach dem Ausfall dieser Wert… Show more

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“…Static lung volumes measured by helium diffusion or body plethysmography have been suggested to appreciate the extent of overinflation as a potential risk factor. Recommendations for the residual volume (RV) vary, SCHAEFER et al [23] recommending <2 L and BAGG et al [24] <2.5 L. For the ratio between RV and total lung capacity (TLC) (RV/TLC), recommendations are <40% [25,26] and <50% [18,[27][28][29] The plethysmographically determined airway resistance for a pneumonectomy should be <0.5-0.8 kPa (<5-8 mbar·L -1 ·s) according to certain authors [13,26,30,31]. All of these measurements of maximal flows, static lung volumes and airway resistance have been abandoned over time.…”
Section: Spirometrymentioning
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“…Static lung volumes measured by helium diffusion or body plethysmography have been suggested to appreciate the extent of overinflation as a potential risk factor. Recommendations for the residual volume (RV) vary, SCHAEFER et al [23] recommending <2 L and BAGG et al [24] <2.5 L. For the ratio between RV and total lung capacity (TLC) (RV/TLC), recommendations are <40% [25,26] and <50% [18,[27][28][29] The plethysmographically determined airway resistance for a pneumonectomy should be <0.5-0.8 kPa (<5-8 mbar·L -1 ·s) according to certain authors [13,26,30,31]. All of these measurements of maximal flows, static lung volumes and airway resistance have been abandoned over time.…”
Section: Spirometrymentioning