➡️ decision making based on patients functional capacity (fitness)
@CUMCAnesthesia Grand Rounds
Actually poor correlation between patient self reported exercise capacity & objective testing results (R=0.31) or METS vs cardiac complications!
![](https://pbs.twimg.com/media/EFYwGxNUEAAscOg.jpg)
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➡️ subjective assessment should be abandoned to predict cardiac complications
Fitness does not correlate with VO2 peak
But dominant effects are non cardiac & fitness predicts other complications (reap failure, infections)
![](https://pbs.twimg.com/media/EFYzal7U4AEXLlF.jpg)
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How should we optimize preoperatively the patient with #DASI < 34 ?!!
➡️ Improve VO2 max in the 2 weeks preceding surgery (if possible)