In short: Preoperative lung optimisation is a structured preparation of the lungs ahead of surgery: risk assessment, control of lung disease, smoking cessation and breathing training. It is especially important before chest and lung surgery, and for people with lung disease or reduced fitness. It may reduce pulmonary complications and support recovery.
Who it is for
- Before lung surgery or other chest surgery
- Before major upper abdominal surgery
- Patients with asthma, COPD, interstitial lung disease or sleep apnoea
- Smokers
- Patients with reduced fitness or physical function
Pulmonary assessment
At the appointment we review your background, your tests and the type of surgery planned. Spirometry is performed during the visit and, where needed, supplemented with full pulmonary function tests and a cardiopulmonary exercise test (CPET), which we interpret. Before lung surgery, the assessment also includes a diffusing capacity test (DLCO) and calculation of the predicted postoperative lung function.
What is done before surgery
- Control of asthma and COPD and adjustment of inhalers
- Treatment of any active infection
- Stopping smoking, ideally at least 4 to 8 weeks before surgery; stopping closer to the operation is still worthwhile
- Vaccinations as needed
- A pulmonary rehabilitation programme: physical training, breathing exercises and inspiratory muscle training, including the option of a remote programme with professional supervision
After surgery
Continuing pulmonary rehabilitation helps you return to activity and improve your breathing. We continue to follow you as needed, in coordination with the surgical team.
Working together
Recommendations are written for the surgical team and your treating physician, and coordinated as needed with anaesthetists, cardiologists and other specialists.
Frequently asked questions
How long before surgery should I come?
The earlier the better, as it allows more time for optimisation and rehabilitation. Even a few weeks before surgery can make a difference.
Is rehabilitation suitable for everyone?
Not always. Before referral to a rehabilitation programme, we check that there is no medical reason preventing participation, based on your background, lung function tests and, if necessary, an echocardiogram.
Related topics
General information only; it does not replace a medical consultation. עברית