Cardiopulmonary exercise testing in a patient with a permanent tracheostomy
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CPET is a reliable and repeatable test to measure patient's preoperative reserve.

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Few cases of permanent tracheostomy have presented to CPET.

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We adapted the CPET equipment using widely available theater tubing.

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Test was only stopped because of patient secretions.

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We established enough data to proceed to successful surgery (colectomy).

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