The High-Risk Anaesthetic Preassessment clinic will be launching in April 2024 and will aim to assess all cardiac and thoracic patients who require a more detailed anaesthetic review as part of the shared-decision making process of listing patients for surgery.
Suggested patients for referral include:
- Previous anaesthetic or airway difficulties (MH, sux apnoea, head and neck cancer etc…)
- Lung resection with borderline CPET / Spirometry results
- Pneumonectomy
- Poor LVEF < 35%
- BMI > 50
- Jehovah’s witness
- Multiple valve procedures
- Significant pulmonary hypertension (PASP > 50mmHg)
- Complex weekend whiteboard transfers
Optimisation
Perioperative Anaemia ManagementLinks:
Homepage
CPOC is a cross-specialty centre dedicated to the promotion, advancement and development of perioperative care.
www.cpoc.org.uk
Practical guide to cardiopulmonary exercise testing in adults - Respiratory Research
Unexplained exertional dyspnoea or fatigue can arise from a number of underlying disorders and shows only a weak correlation with resting functional or imaging tests. Noninvasive cardiopulmonary exercise testing (CPET) offers a unique, but still under-utilised and unrecognised, opportunity to study cardiopulmonary and metabolic changes simultaneously. CPET can distinguish between a normal and an abnormal exercise response and usually identifies which of multiple pathophysiological conditions alone or in combination is the leading cause of exercise intolerance. Therefore, it improves diagnostic accuracy and patient health care by directing more targeted diagnostics and facilitating treatment decisions. Consequently, CPET should be one of the early tests used to assess exercise intolerance. However, this test requires specific knowledge and there is still a major information gap for those physicians primarily interested in learning how to systematically analyse and interpret CPET findings. This article describes the underlying principles of exercise physiology and provides a practical guide to performing CPET and interpreting the results in adults.
respiratory-research.biomedcentral.com
Preinterventional frailty assessment in patients scheduled for cardiac surgery or transcatheter aortic valve implantation: a consensus statement of the European Association for Cardio-Thoracic Surgery (EACTS) and the European Association of Preventive Cardiology (EAPC) of the European Society of Cardiology (ESC)
1 INTRODUCTION 148
academic.oup.com
Contact:
plh-tr.peninsula-cardiothoracic-preassessment@nhs.net