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Notice from the American Board of Thoracic Surgery
1686
FITTON ET AL PULMONARY RESECTION AFTER LUNG TRANSPLANTATION
GENERAL THORACIC
patient who died early was a patient who in fact was very ill, we did volume reduction, and that patient died the day after the operation. I think the real algorithm that we used was that if the patient had significant hyperexpansion but was still active, living a normal lifestyle, and was not on oxygen, we did not attempt lung volume reduction. Once they required oxygen again and their functional status decreased, then it was at that point that we performed the volume reduction. Strictly going by the pulmonary function testing without considering the overall clinical picture, was not effective.
Ann Thorac Surg 2003;76:1680 – 6
There are some patients, as you know, posttransplant who have great pulmonary function tests and do well and some whose pulmonary function tests are not so great and do well. We found that pulmonary function testing in patients with asymptomatic hyperinflation was often more confusing than helpful. So it was when the patients seemed to be doing a little bit worse clinically, on their spirometry, and were without infection or rejection, but were still stable, that was the time that we referred them for lung reduction.
Notice From the American Board of Thoracic Surgery The 2003 Part I (written) examination will be held at the Radisson Hotel O’Hare, Rosemont, Chicago, IL, on November 23, 2003. The closing date for registration is August 1, 2003. Those wishing to be considered for examination must request an application because it is not automatically sent. To be admissible to the Part II (oral) examination, a candidate must have successfully completed the Part I (written) examination.
© 2003 by The Society of Thoracic Surgeons Published by Elsevier Inc
A candidate applying for admission to the certifying examination must fulfill all the requirements of the Board in force at the time the application is received. Please address all communications to the American Board of Thoracic Surgery, One Rotary Center, Suite 803, Evanston, IL 60201; telephone: (847) 4751520; fax: (847) 475-6240; e-mail: abts_evanston@msn. com.
Ann Thorac Surg 2003;76:1686
•
0003-4975/03/$30.00
FITTON ET AL PULMONARY RESECTION AFTER LUNG TRANSPLANTATION
GENERAL THORACIC
patient who died early was a patient who in fact was very ill, we did volume reduction, and that patient died the day after the operation. I think the real algorithm that we used was that if the patient had significant hyperexpansion but was still active, living a normal lifestyle, and was not on oxygen, we did not attempt lung volume reduction. Once they required oxygen again and their functional status decreased, then it was at that point that we performed the volume reduction. Strictly going by the pulmonary function testing without considering the overall clinical picture, was not effective.
Ann Thorac Surg 2003;76:1680 – 6
There are some patients, as you know, posttransplant who have great pulmonary function tests and do well and some whose pulmonary function tests are not so great and do well. We found that pulmonary function testing in patients with asymptomatic hyperinflation was often more confusing than helpful. So it was when the patients seemed to be doing a little bit worse clinically, on their spirometry, and were without infection or rejection, but were still stable, that was the time that we referred them for lung reduction.
Notice From the American Board of Thoracic Surgery The 2003 Part I (written) examination will be held at the Radisson Hotel O’Hare, Rosemont, Chicago, IL, on November 23, 2003. The closing date for registration is August 1, 2003. Those wishing to be considered for examination must request an application because it is not automatically sent. To be admissible to the Part II (oral) examination, a candidate must have successfully completed the Part I (written) examination.
© 2003 by The Society of Thoracic Surgeons Published by Elsevier Inc
A candidate applying for admission to the certifying examination must fulfill all the requirements of the Board in force at the time the application is received. Please address all communications to the American Board of Thoracic Surgery, One Rotary Center, Suite 803, Evanston, IL 60201; telephone: (847) 4751520; fax: (847) 475-6240; e-mail: abts_evanston@msn. com.
Ann Thorac Surg 2003;76:1686
•
0003-4975/03/$30.00