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ORIGINAL ARTICLE
Minerva Anestesiologica 2023 June;89(6):536-45
DOI: 10.23736/S0375-9393.22.16872-0
Copyright © 2022 EDIZIONI MINERVA MEDICA
language: English
End-tidal carbon dioxide in the early phase of cardiopulmonary exercise testing prior to major colorectal cancer surgery associates with postoperative outcome
Jonas ALFITIAN 1, 2 ✉, Jarrod BASTO 3, Jan MIESTERECK 1, 2, Hilmy ISMAIL 3, Kwok-Ming HO 4, Tobias KAMMERER 1, 2, Volker SCHICK 1, 2, Bernhard RIEDEL 3, Robert SCHIER 1, 2
1 Department for Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany; 2 Faculty of Medicine, University of Cologne, Cologne, Germany; 3 Department of Anaesthesia, Perioperative and Pain Medicine, Peter MacCallum Cancer Center, Melbourne, Australia; 4 Department of Intensive Care Medicine, Royal Perth Hospital, Perth, Australia
BACKGROUND: Cardiopulmonary exercise testing (CPET) objectively informs preoperative risk stratification prior to major surgery. CPET facilities are resource intensive and therefore more cost-effective triage methods are desirable for scalability. We tested two dynamic CPET parameters (end-tidal CO
METHODS: We conducted a retrospective cohort study including 84 patients who underwent CPET prior to elective major abdominal cancer surgery. Data were analyzed for P
RESULTS: P
CONCLUSIONS: Assessment of DLCO at rest and dynamic assessment of P
KEY WORDS: Exercise test; Carbon dioxide; Colorectal surgery; Postoperative complications