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Ann Thorac Surg 2009;87:670-671. doi:10.1016/j.athoracsur.2008.03.088
© 2009 The Society of Thoracic Surgeons
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Correspondence

Cardiopulmonary Exercise Testing Accurately Predicts Risk of Major Surgery Including Esophageal Resection: Letter 1

Adrian Hall, MBBS, FANZCAa, Paul Older, MBBS, LRCP, MRCSb

a Peter MacCallum Cancer Centre, St. Andrews Place, East Melbourne, Victoria, 8006 Australia
b Cardio-Pulmonary Exercise Testing Laboratory, Western Hospital, Footscray, Victoria, 3011 Australia

(Email: adrian_hall@bigpond.com).

The first 20% of the full text of this article appears below.

To the Editor:

Our work on assessment of operative risk [1–3], quoted by Forshaw and colleagues [4], demonstrated that oxygen consumption is increased after major surgery, and patients with decreased cardiopulmonary reserve have increased risk.

Esophageal surgery differs from other procedures with high surgery-specific risk such as colorectal or abdomino-vascular surgery. It not only increases oxygen consumption but also interferes with the cardiopulmonary "machinery." For this reason, our system of triage [3] mandated that all patients undergoing esophageal surgery were admitted to a high dependency environment. Our patients were not routinely ventilated; we believe the benefit of high dependency . . . [Full Text of this Article]


Related Article

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Matthew J. Forshaw, Dirk C. Strauss, Andrew R. Davies, David Wilson, Boris Lams, Adrian Pearce, Abrie J. Botha, and Robert C. Mason
Ann. Thorac. Surg. 2009 87: 671-672. [Extract] [Full Text] [PDF]



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M. J. Forshaw, D. C. Strauss, A. R. Davies, D. Wilson, B. Lams, A. Pearce, A. J. Botha, and R. C. Mason
Reply
Ann. Thorac. Surg., February 1, 2009; 87(2): 671 - 672.
[Full Text] [PDF]


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