Pre-Op Pulmonary Evaluation

Risk Factors for Post-Op Pulmonary Complications

  • Smoking: 1.4-4.3x increased risk of complications
    • Risk does not decrease until 8 wks after smoking cessation
  • COPD: 2.7 -4.7x increased risk of complications
  • ASA Class >2:
  • Age >70 y/o: although age > 70 has been statistically identified as a risk factor, pulmonary complications are more strongly related to coexisting conditions than to chronologic age, and therefore advanced age alone is not a reason to withhold surgery

*Note: Obesity does increase risk of post-op pulmonary complications


References

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