Bronchoscopy:
3 lumens?
1 proximal and several distal lumens
Right upper lobe
Lower lobe bronchus as the superior segmental bronchus comes off more proximally than the basilar segments.
SCORE
Most successful medication for smoking cessation
Varenicline
TL
Ideal Postop predicted FEV1 and DLCO
> 40-60% (or >0.8L for FEV1)
If < 30%, need exercise testing to measure peak O2 intake (VO2)
TL
Cardiopulmonary exercise testing: VO2 max cut-off for lung surgery
> 20 low risk
10-20 intermediate risk
<10 high risk
Ideal Preoperative FEV1 and DLCO
> 80%
If < 80% –> calculated PREDICTED postop FEV1 and DLCO
PCO2 > *** is an indicator for POOR FRC
45