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Sivakumar Sivalingam
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Christopher M.R. Satur
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Ann Thorac Surg 2007;84:683-685
© 2007 The Society of Thoracic Surgeons

How To Do It

Nurse-Led Preoperative Screening and Targeted Optimization of Pulmonary Dysfunction in Patients Undergoing Cardiac Surgery

Sivakumar Sivalingam, MB, FRCS(CTh), Sridhar Rathinam, MB, FRCSEd(CTh), Adam Ajis, MB, BCh, Christopher M.R. Satur, MD, FRCS(CTh)*

Department of Cardiothoracic Surgery, University Hospital of North Staffordshire, Stoke-on-Trent, United Kingdom

Accepted for publication November 9, 2006.

* Address correspondence to Dr Satur, University Hospital of North Staffordshire, Princes Road, Stoke-on-Trent, ST4 7LN United Kingdom (Email: christopher.satur{at}uhns.nhs.uk).

Postoperative pulmonary dysfunction prolonging intensive care treatment after cardiac surgery most commonly occurs in patients with a background of pre-existing pulmonary dysfunction. However, many patients have occult dysfunction and present primarily after surgery. We describe and discuss the results of a respiratory optimization program utilizing a peak expiratory flow rate below 400 L/min as a screening test to identify patients in a nurse-directed preoperative clinic.




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