Cardiopulmonary exercise testing after laryngectomy: A connection conundrum.
Cardiopulmonary exercise testing after laryngectomy: A connection conundrum.
复制标题
喉切除术后心肺运动测试：一个连接难题。
DOI：
10.1016/j.rmcr.2015.06.004
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发表时间：
2015
影响因子：
1.1
通讯作者：
Gross,ThomasJ
中科院分区：
文献类型：
--
作者：
Overstreet,Shana;Parekh,KalpajR;Gross,ThomasJ
一个病人提出了一个新的支气管肺癌复发性喉肿瘤切除术后5年和同步舌根肿瘤并发肺癌放化疗后13年。由于他的病史复杂且呼吸储备有限，他被认为完成肺切除术以切除这个新肿瘤的风险很高。主治外科医生要求在手术前进行全面的心肺运动试验以进行风险评估。我们发现，没有市售的连接器可以使我们的CPET设备可靠地收集来自气管造口术造口或插管患者的呼吸气体。我们在这里报告一个简单的耦合设计“在内部”，允许一个可解释的测试导致医疗保健的显着变化的性能。
A patient presents with a new bronchogenic carcinoma 5 years after laryngectomy for recurrent laryngeal tumor and 13 years after chemoradiation for concurrent lung cancer with synchronous base-of-tongue tumor. Due to his complex history and perceived limited respiratory reserve, he was felt high risk for the completion pneumonectomy needed for resection of this new tumor. The attending surgeon requested a full cardiopulmonary exercise test for risk assessment prior to surgery. We found that there was no commercially available connector that would allow our CPET equipment to reliably collect respiratory gases from a patient with tracheostomy stoma or tube. We report here a simple coupling devised “in house” that allowed for the performance of an interpretable test leading to a significant change in medical care.