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However, the perioperative risk is multifactorial, and children with complex medical backgrounds such as chronic lung disease or obesity may benefit from additional objective preoperative pulmonary function tests. This article summarizes the utility of available pulmonary function assessment tools as preoperative tests in improving post\u2010anesthetic outcomes. Currently, there is no evidence to support or discourage any pulmonary function assessment as a routine preoperative test for children undergoing anesthesia. In addition, there is uncertainty about which patients with the known or suspected respiratory disease require preoperative pulmonary function tests, what time period prior to surgery these are required, and whether spirometry or more sophisticated tests are indicated. Therefore, the need for any test should be based on information obtained from the history and examination, the child's age, and the complexity of the surgery.<\/jats:p>","DOI":"10.1111\/pan.14356","type":"journal-article","created":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T19:04:42Z","timestamp":1638903882000},"page":"191-201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Clinical utility of preoperative pulmonary function testing in pediatrics"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2652-0560","authenticated-orcid":false,"given":"Rachael","family":"Marpole","sequence":"first","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Perth Children's Hospital  Nedlands WA Australia"},{"name":"Division of Paediatrics School of Medical University of Western Australia  Crawley WA 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