Complicações relacionadas à lobectomia em doadores de transplante pulmonar intervivos

Camargo, Spencer Marcantônio; Camargo, José de Jesus Peixoto; Schio, Sadi Marcelo; Sánchez-Valdeón, Leticia; Felicetti, José Carlos; Moreira, José da Silva; Andrade, Cristiano Feijó

doi:10.1590/s1806-37132008000500003

Cited by 17 publications

(3 citation statements)

References 22 publications

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“…In Brazil, there have been no studies describing complications of video-assisted thoracoscopic lobectomy; however, a study conducted at the Santa Casa Hospital Complex in Porto Alegre, located in the state of Rio Grande do Sul, Brazil, describes complications related to traditional lobectomy in lung donors. 25 In that study, 31.25% of the patients had one or more complications, the most common being pleural effusion. 25 Another study conducted in the same state, also regarding lobectomy via thoracotomy, reported a complication rate of 44%, in addition to an intraoperative mortality rate of 2.9%.…”

Section: Discussionmentioning

confidence: 81%

“… 25 In that study, 31.25% of the patients had one or more complications, the most common being pleural effusion. 25 Another study conducted in the same state, also regarding lobectomy via thoracotomy, reported a complication rate of 44%, in addition to an intraoperative mortality rate of 2.9%. 26 The mean age of those patients, 63.7 ± 9.7 years, was similar to that found in our sample; however, most of those patients (83.9%) had one or more comorbidities, and 90% had a history of smoking.…”

Section: Discussionmentioning

confidence: 81%

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Anatomic pulmonary resection by video-assisted thoracoscopy: the Brazilian experience (VATS Brazil study)

et al. 2016

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Objective: The objective of this study was to describe the results of anatomic pulmonary resections performed by video-assisted thoracoscopy in Brazil. Methods: Thoracic surgeons (members of the Brazilian Society of Thoracic Surgery) were invited, via e-mail, to participate in the study. Eighteen surgeons participated in the project by providing us with retrospective databases containing information related to anatomic pulmonary resections performed by video-assisted thoracoscopy. Demographic, surgical, and postoperative data were collected with a standardized instrument, after which they were compiled and analyzed. Results: The surgeons provided data related to a collective total of 786 patients (mean number of resections per surgeon, 43.6). However, 137 patients were excluded because some data were missing. Therefore, the study sample comprised 649 patients. The mean age of the patients was 61.7 years. Of the 649 patients, 295 (45.5%) were male. The majority-521 (89.8%)-had undergone surgery for neoplasia, which was most often classified as stage IA. The median duration of pleural drainage was 3 days, and the median hospital stay was 4 days. Of the 649 procedures evaluated, 598 (91.2%) were lobectomies. Conversion to thoracotomy was necessary in 30 cases (4.6%). Postoperative complications occurred in 124 patients (19.1%), the most common complications being pneumonia, prolonged air leaks, and atelectasis. The 30-day mortality rate was 2.0%, advanced age and diabetes being found to be predictors of mortality. Conclusions: Our analysis of this representative sample of patients undergoing pulmonary resection by video-assisted thoracoscopy in Brazil showed that the procedure is practicable and safe, as well as being comparable to those performed in other countries.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 81%

Anatomic pulmonary resection by video-assisted thoracoscopy: the Brazilian experience (VATS Brazil study)

et al. 2016

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“…Care measures such as: undertaking oral hygiene with oral antiseptic, maintaining the bed head elevated at 30°, checking the pressure of the cuff and Endotracheal tube (ETT) aspiration with a closed system are in accordance with the Brazilian National Health Surveillance Agency's manual of respiratory tract infections and with a convergent-assistential qualitative study which presents, respectively, oral hygiene care with chlorhexidine 0.12%, elevation of the bed head between 30-45º, pressure of the cuff between 20-30 cm H 2 O; and care with aspiration of the secretions ( 19 ) . Such care measures for prevention of VAP are essential in order to avoid respiratory infections and, consequently, the acute rejection of the graft ( 15 , 20 - 21 ) .…”

Section: Discussionmentioning

confidence: 99%

The immediate post-operative period following lung transplantation: mapping of nursing interventions

Duarte

Linch

Caregnato

2014

Rev. Latino-Am. Enfermagem

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OBJECTIVES: to investigate the principle nursing interventions/actions, prescribed in the immediate post-operative period for patients who receive lung transplantation, recorded in the medical records, and to map these using the Nursing Interventions Classification (NIC) taxonomy. METHOD: retrospective documental research using 183 medical records of patients who received lung transplantation (2007/2012). The data of the patients' profile were grouped in accordance with the variables investigated, and submitted to descriptive analysis. The nursing interventions prescribed were analyzed using the method of cross-mapping with the related interventions in the NIC. Medical records which did not contain nursing prescriptions were excluded. RESULTS: the majority of the patients were male, with medical diagnoses of pulmonary fibrosis, and underwent lung transplantation from a deceased donor. A total of 26 most frequently-cited interventions/actions were found. The majority (91.6%) were in the complex and basic physiological domains of the NIC. It was not possible to map two actions prescribed by the nurses. CONCLUSIONS: it was identified that the main prescriptions contained general care for the postoperative period of major surgery, rather than prescriptions individualized to the patient in the postoperative period following lung transplantation. Care measures related to pain were underestimated in the prescriptions. The mapping with the taxonomy can contribute to the elaboration of the care plan and to the use of computerized systems in this complex mode of therapy.

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Living-Related Organ Transplantations

Feltracco

Ori

2016

Anesthesia and Perioperative Care for Organ Transplantation

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Complicações relacionadas à lobectomia em doadores de transplante pulmonar intervivos

Abstract: Lobectomy in living lung transplant donors presents high risk of post-operative complications and irreversible impairment of pulmonary function. Careful pre-operative evaluation is necessary in order to reduce the incidence of complications in living lobar lung transplant donors.

Cited by 17 publications

References 22 publications

Anatomic pulmonary resection by video-assisted thoracoscopy: the Brazilian experience (VATS Brazil study)

Anatomic pulmonary resection by video-assisted thoracoscopy: the Brazilian experience (VATS Brazil study)

The immediate post-operative period following lung transplantation: mapping of nursing interventions

Living-Related Organ Transplantations

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