Cardiopulmonary exercise testing after laryngectomy: A connection conundrum

Shana Overstreet; Kalpaj R Parekh; Thomas J Gross

doi:10.1016/j.rmcr.2015.06.004

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Cardiopulmonary exercise testing after laryngectomy: A connection conundrum

Journal article

Open access

Peer reviewed

Cardiopulmonary exercise testing after laryngectomy: A connection conundrum

Shana Overstreet, Kalpaj R Parekh and Thomas J Gross

Respiratory medicine case reports, Vol.16(C), pp.11-14

2015

DOI: 10.1016/j.rmcr.2015.06.004

PMCID: PMC4681887

PMID: 26744642

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Abstract

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.

Cardiopulmonary exercise test

Tracheostomy

Preoperative risk

Laryngectomy

Details

Title: Subtitle: Cardiopulmonary exercise testing after laryngectomy: A connection conundrum
Creators: Shana Overstreet - Departments of Respiratory Care, Carver College of Medicine, University of Iowa Health Care, USA
Kalpaj R Parekh - Departments of Cardiothoracic Surgery, Carver College of Medicine, University of Iowa Health Care, USA
Thomas J Gross - Department of Internal Medicine, Division of Pulmonary & Critical Care, Carver College of Medicine, University of Iowa Health Care, USA
Resource Type: Journal article
Publication Details: Respiratory medicine case reports, Vol.16(C), pp.11-14
DOI: 10.1016/j.rmcr.2015.06.004
PMID: 26744642
PMCID: PMC4681887
NLM abbreviation: Respir Med Case Rep
ISSN: 2213-0071
eISSN: 2213-0071
Publisher: Elsevier Ltd
Language: English
Date published: 2015
Academic Unit: Pulmonary, Critical Care, and Occupational Medicine; Anatomy and Cell Biology; Surgery; Cardiothoracic Surgery; Internal Medicine
Record Identifier: 9984025411102771

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