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Vol. 26. Issue 5.
Pages 195-198 (June - July 1990)
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Vol. 26. Issue 5.
Pages 195-198 (June - July 1990)
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Estimación de la función pulmonar tras la exéresis. Análisis de un método sencillo
Estimation of pulmonary function after surgical resection. Analysis of a simple method
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A. Pereira Vega, F. Capote Gil, J. Castillo Gómez, F. Rodríguez Panadero
Servicios de Neumología, Hospital Virgen del Rocío. Sevilla
M.P. Ureta Toslada*, M. Torres Cansino**
* Servicios de Anestesia. Hospital Virgen del Rocío. Sevilla
** Servicios de Cirugía Torácica. Hospital Virgen del Rocío. Sevilla
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Hemos evaluado la utilidad de un método sencillo para la estimación de la capacidad vital (VC) y el flujo espiratorio forzado en el primer segundo (FEV1) postoperatorios, en 20 pacientes que sufrieron exéresis pulmonares por diversas causas.

Nos hemos basado en el método descrito por Egeblad et al1, que utiliza exclusivamente la espirografía, radiografías posteroanterior y lateral de tórax y fibrobroncoscopia preoperatorias.

Al correlacionar el FEV1 y la VC postoperatorios reales con los estimados, obtuvimos unos coeficientes de correlación (r) de 0,96 y 0,97, respectivamente. La mayor diferencia entre el FEV1 postoperatorio previsto y real fue de 430 ml y sólo en 4 pacientes, esta diferencia fue superior a 300 ml.

The vital capacity (VC) and the forced expiration flow at the first second (FEF1) were evaluated in 20 patients subjected to pulmonary resections for different etiologies using a simple method.

Our procedure was based on the method reported by Egeblad et al. and it included posteroanterior and lateral chest x-ray radiographs, expirography, and bronchoscopy before surgery. The correlation coefficients for VC and FEF1 measured in the postoperative phase and those estimated by our method were 0.97 and 0.96, respectively. The largest difference in FEF1 between the measured and the estimated values was of 430 ml and only in 4 patients this difference was greater than 300 ml.

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Bibliografía
[1.]
K. Egeblad, N. Aunsholtm, V. Funder, P.H. Nielsen.
A simple method for pedicting pulmonary function after lung resection.
Scand J Thor Cardiovasc Surg, 20 (1986), pp. 103-107
[2.]
P.G. Boysen.
Pulmonary resection and postoperative pulmonary function.
Chest, 77 (1980), pp. 718-719
[3.]
H. Neuhaus, N.S. Cherniak.
A bronchospirometric method of estimating the effect of pneumectomy on the maximun breathing capacity.
J Thorac Cardiovasc Surg, 55 (1968), pp. 144
[4.]
L.A. Uggla.
Indications and results of thoracic surgery with regard to respiratory and circulatory function.
Acta Chir Scand, 111 (1956), pp. 197
[5.]
R.H. Walkup, L.F. Vossel, J.G. Griffit, et al.
Prediction of postoperative pulmonary function with the lateral position test.
Chest, 77 (1980), pp. 24
[6.]
S. Kristersson, S.E. Lindell, L. Svanberg.
Prediction of pulmonary function loss due to pneumectomy using Xe133 -radiospirometry.
Chest, 62 (1972), pp. 694
[7.]
J. Díaz de Atauri, A. López Encuentra, M.E. Gutiérrez, et al.
Predicción del VEMS postoperatorio para neumectomía por carcinoma broncogénico.
Arch Bronconeumol, 25 (1989), pp. 13
[8.]
F. Gonsalbez Jorda, A. Pérez García, J. Fernández Rodríguez, et al.
Función pulmonar pre y postoperatoria en 230 neumectomías consecutivas.
Arch Bronconeumol, 25 (1989), pp. 13
[9.]
M. Khalil Al, C.F. Mountain, M.S. Ewer, et al.
Predicting loss of pulmonary function after pulmonary resection for bronchogenic carcinoma.
Chest, 77 (1980), pp. 337-342
[10.]
M. Le Roy Ladurie, B. Ranson-Bitker.
Uncertaintes in the expected value for forced expiratory volume in one second after surgery.
Chest, 90 (1986), pp. 222-228
[11.]
W.F. Bria, D.J. Kanarek, K. Homayoun.
Prediction of postoperative pulmonary function following thoracic operations.
J Thorac Cardiovasc Surg, 86 (1983), pp. 186-192
[12.]
P.A. Corris, D.A. Ellis, T. Hawkins, G.J. Gibson.
Use of radionuclide scanning in the preoperative estimation of pulmonary function after pneumonectomy.
Thorax, 42 (1987), pp. 285-291
[13.]
P. Ussetti, A.G.N. Agusti, J. Roca, R. Rodríguez Roisin, J. Sánchez-Lloret, A. Agusti Vidal.
Resección pulmonar: predicción de la pérdida de función.
Arch Bronconeumol, 25 (1989), pp. 9
[14.]
K. Nakahara, M. Yasumasa, O. Kiyoshi, et al.
A method for predicting postoperative lung function and its relation to postoperative complications in patients with lung cancer.
Ann Thorac Surg, 39 (1985), pp. 260-265
[15.]
Grupo de Trabajo de la SEPAR.
Práctica de la espirometría en clínica. Normativa para la espirometría forzada.
Arch Bronconeumol, 25 (1989), pp. 132-142
[16.]
J.J. Segall, B.A. Butterworth.
Ventilatory capacity in chronic bronchitis in relation to carbon dioxide retention.
Scand J Respir Dis, 47 (1966), pp. 215-224
[17.]
J. Smart, S. Naimi, L.H. Capel.
The relationship between effort intolerance, spirometry and blood gas analysis in patients with chronic obstructive airways disease.
Br J Dis Chest, 55 (1961), pp. 6-16
[18.]
S.M. Rooney, S. Jain, P. McCormack, et al.
A comparation of pulmonary function test for post-thoracotomy pain using cryoanalgesia and transcutaneous nerve stimulation.
Ann Thorc Surg, 41 (1986), pp. 204-207
Copyright © 1990. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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