Anesthesiology for thoracic surgery
Patient (male, 55 yrs) is admitted to undergo elective lung lobectomy due to diagnosed adenocarcinoma located in the right lower lobe. No comorbidities are present. He is examined by an anesthesiologist before the surgery, who indicates therapeutical and diagnostical procedures in order to minimize peroperative and postoperative complications and to decide the type of intubation and anesthesia. Which preoperative examinations are important to carry out apart from those already performed?
EKG
rythm: sinus
action: regular
frequency: 75 bpm
no signs of ischemia
Examination
General practitioner - conclusion: patient is cardiopulmonary compensated, no cold present, capable to undergo surgical procedure.
CXR (description): On the CXR (P-A projection) a tumorous infiltration is localised in the right lower lobe projecting into the right lung hilum.