How do you approach pre-operative risk assessment and optimization in a patient with interstitial lung disease?

Surgery in patients with interstitial lung disease (ILD) is not a decision we take lightly! At our center, we start with general risk tools like the ARISCAT score but layer in ILD-specific factors—such as DLCO below 60% and declining trends in PFTs or 6MWT testing. We also screen for comorbidities l...