Cardiopulmonary exercise testing after laryngectomy: A connection conundrum
A patient presents with a new bronchogenic carcinoma 5 years after laryngectomy for recurrent laryngeal tumor and 13 years after chemoradiation for concurrent lung cancer with synchronous base-of-tongue tumor. Due to his complex history and perceived limited respiratory reserve, he was felt high ris...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-01-01
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| Series: | Respiratory Medicine Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007115300095 |
| _version_ | 1819230345108652032 |
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| author | Shana Overstreet Kalpaj R. Parekh Thomas J. Gross |
| author_facet | Shana Overstreet Kalpaj R. Parekh Thomas J. Gross |
| author_sort | Shana Overstreet |
| collection | DOAJ |
| description | A patient presents with a new bronchogenic carcinoma 5 years after laryngectomy for recurrent laryngeal tumor and 13 years after chemoradiation for concurrent lung cancer with synchronous base-of-tongue tumor. Due to his complex history and perceived limited respiratory reserve, he was felt high risk for the completion pneumonectomy needed for resection of this new tumor. The attending surgeon requested a full cardiopulmonary exercise test for risk assessment prior to surgery. We found that there was no commercially available connector that would allow our CPET equipment to reliably collect respiratory gases from a patient with tracheostomy stoma or tube. We report here a simple coupling devised “in house” that allowed for the performance of an interpretable test leading to a significant change in medical care. |
| first_indexed | 2024-12-23T11:27:35Z |
| format | Article |
| id | doaj.art-5a475f09aec34c3c9326bc63bff8f59a |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-12-23T11:27:35Z |
| publishDate | 2015-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-5a475f09aec34c3c9326bc63bff8f59a2022-12-21T17:48:53ZengElsevierRespiratory Medicine Case Reports2213-00712015-01-0116C111410.1016/j.rmcr.2015.06.004Cardiopulmonary exercise testing after laryngectomy: A connection conundrumShana Overstreet0Kalpaj R. Parekh1Thomas J. Gross2Departments of Respiratory Care, Carver College of Medicine, University of Iowa Health Care, USADepartments of Cardiothoracic Surgery, Carver College of Medicine, University of Iowa Health Care, USADepartment of Internal Medicine, Division of Pulmonary & Critical Care, Carver College of Medicine, University of Iowa Health Care, USAA patient presents with a new bronchogenic carcinoma 5 years after laryngectomy for recurrent laryngeal tumor and 13 years after chemoradiation for concurrent lung cancer with synchronous base-of-tongue tumor. Due to his complex history and perceived limited respiratory reserve, he was felt high risk for the completion pneumonectomy needed for resection of this new tumor. The attending surgeon requested a full cardiopulmonary exercise test for risk assessment prior to surgery. We found that there was no commercially available connector that would allow our CPET equipment to reliably collect respiratory gases from a patient with tracheostomy stoma or tube. We report here a simple coupling devised “in house” that allowed for the performance of an interpretable test leading to a significant change in medical care.http://www.sciencedirect.com/science/article/pii/S2213007115300095Cardiopulmonary exercise testLaryngectomyTracheostomyPreoperative risk |
| spellingShingle | Shana Overstreet Kalpaj R. Parekh Thomas J. Gross Cardiopulmonary exercise testing after laryngectomy: A connection conundrum Respiratory Medicine Case Reports Cardiopulmonary exercise test Laryngectomy Tracheostomy Preoperative risk |
| title | Cardiopulmonary exercise testing after laryngectomy: A connection conundrum |
| title_full | Cardiopulmonary exercise testing after laryngectomy: A connection conundrum |
| title_fullStr | Cardiopulmonary exercise testing after laryngectomy: A connection conundrum |
| title_full_unstemmed | Cardiopulmonary exercise testing after laryngectomy: A connection conundrum |
| title_short | Cardiopulmonary exercise testing after laryngectomy: A connection conundrum |
| title_sort | cardiopulmonary exercise testing after laryngectomy a connection conundrum |
| topic | Cardiopulmonary exercise test Laryngectomy Tracheostomy Preoperative risk |
| url | http://www.sciencedirect.com/science/article/pii/S2213007115300095 |
| work_keys_str_mv | AT shanaoverstreet cardiopulmonaryexercisetestingafterlaryngectomyaconnectionconundrum AT kalpajrparekh cardiopulmonaryexercisetestingafterlaryngectomyaconnectionconundrum AT thomasjgross cardiopulmonaryexercisetestingafterlaryngectomyaconnectionconundrum |