Perioperative Pulmonary Complications Risk Score | Medical Algorithm

Are you evaluating a patient prior to thoracic or abdominal surgery?

Yes

Body weight

FVC

liters

Expected FVC

liters

FEV1 to FVC ratio

Expected FEV1 to FVC ratio

Postbronchodilator FEV1 to FVC ratio

Expected postbronchodilator FEV1 to FVC ratio

PaO2 on room air

PaCO2 on room air

Is the patient expected to be confined to bed for more than 36 hours after surgery?

Yes

Arterial pH

Cardiovascular findings

Dyspnea on exertion

Orthopnea

Paroxysmal nocturnal dyspnea

Heart failure

Angina or recent acute MI

None

Neurologic findings

Confusion or agitation

Obtundation

Spasticity or disco-ordination

Bulbar malfunction

Significant muscular weakness

None

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Pulmonary Complications After Thoracic or Abdominal Surgery Risk Score

Purpose: To evaluate a patient undergoing thoracic or abdominal surgery for the risk of postoperative pulmonary complications using the score of Shapiro et al.