You are seeing a 64-year-old man in the Preadmission Clinic who is booked for a left lower lobectomy for non-small cell carcinoma.
He is on your list in two weeks' time.
Past Medical History:
- hypertension
- type II diabetes mellitus
- paroxysmal atrial fibrillation
Medications:
- perindopril 2mg bd
- rivaroxaban 20 mg daily
- metoprolol 50mg bd
- empagliflozin 10mg daily
He currently smokes 1 packet cigarettes per day and has a 42 pack-year history.
Height - 177cm, Weight - 74 kg, BMI 23.6 kg/m2
His chest CT scan is displayed below.
Sections covered in this viva
Preoperative assessment including GA and analgesia planManagement of unintended intraoperative lung reinflationPostoperative hypotension from atrial fibrillation