Related Experiment Video For Cardiopulmonary exercise test
Updated: Mar 27, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Cardiopulmonary exercise testing after laryngectomy: A connection conundrum
Shana Overstreet1, Kalpaj R Parekh2, Thomas J Gross3
1Departments of Respiratory Care, Carver College of Medicine, University of Iowa Health Care, USA.
Abstract:
A patient presents with a new bronchogenic carcinoma 5 years after laryngectomy for recurrent laryngeal tumor and 13 years after chemoradiation for concurrent lung cancer with synchronous base-of-tongue tumor. Due to his complex history and perceived limited respiratory reserve, he was felt high risk for the completion pneumonectomy needed for resection of this new tumor. The attending surgeon requested a full cardiopulmonary exercise test for risk assessment prior to surgery. We found that there was no commercially available connector that would allow our CPET equipment to reliably collect respiratory gases from a patient with tracheostomy stoma or tube. We report here a simple coupling devised "in house" that allowed for the performance of an interpretable test leading to a significant change in medical care.
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