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Cardiopulmonary Exercise Testing (CPEX) Dr David Timbrell Vascular Anaesthetic Fellow AAA QIP Meeting, Haywards Heath 30 March 2012.

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Presentation on theme: "Cardiopulmonary Exercise Testing (CPEX) Dr David Timbrell Vascular Anaesthetic Fellow AAA QIP Meeting, Haywards Heath 30 March 2012."— Presentation transcript:

1 Cardiopulmonary Exercise Testing (CPEX) Dr David Timbrell Vascular Anaesthetic Fellow AAA QIP Meeting, Haywards Heath 30 March 2012

2 CPEX at Frimley Established Summer 2010 Initially colorectal Increasing vascular caseload last 6-12 months 3 cases/day –1hr each –History, test, feedback

3 AAA Caseload 1/1/11 – 31/1/12 (13 months) National Vascular Database

4 AAA Caseload

5 Who to CPEX? All planned Open repair Patients ? Open, ? EVAR EVAR according to Red, Amber, Green score Not capacity for all EVAR

6 CPEX Caseload 53 AAA patients since established –48 planned open/unsure –2 TEVAR –3 planned EVAR 20 proceeded to open 12 proceeded to EVAR Remaining 21 patients –3 Referred to St Georges –12 Surgery awaited –6 Not to proceed, deceased etc

7 Can CPEX help us to fast-track Open AAA patients? 11/20 patients AT > 11 ml/kg/min What support was required?

8 Outcomes – ITU Support Adv. Resp Basic Resp Adv. Cardiac Basic Cardiac Renal AT > 11 (ml/kg/min) AT < 11 (ml/kg/min) Median discharge day 3 vs 4

9 Future Plans CPEX for all Open AAA patients Vascular Anaesthesia Clinic –For all EVAR pts ? Extended recovery/HDU for elective open AAA pts with AT > 11 –Assuming no complications


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