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This is a national cardiothoracic teaching programme brought to you by Dr Hanad Ahmed on behalf of the Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) Education and Trainee Committees. It is the first centralised teaching programme specifically targeting foundation doctors. We hope this programme provides you with an insight into the specialty and a grounding in many of the core disease processes and their management at foundation and core training level. Session 16 covers Pre-operative Assessment in Thoracic Surgery with our guest speaker Mr Mohammad Hawari, a Consultant Thoracic Surgeon at Nottingham University Hospitals. 00:00 Introduction 01:21 Resectability and Operability 03:20 Tripartite Risk Assessment 04:46 Thoracoscore 10:07 Cardiovascular Morbidity Assessment 17:10 Postoperative Dyspnoea 18:30 General Guideline for Lung Resections 21:57 Estimation of Post-operative FEV1 23:53 Case Scenario 30:17 Cardiopulmonary Exercise Testing 32:00 Other Considerations 34:01 Surgical Approach 35:54 Provision of Treatment Options 37:25 Conclusion 39:23 Close