Noninvasive Ventilation in Postoperative Care of Lung Transplant Recipients

Feltracco, Paolo; Serra, Eugenio; Barbieri, Stefania; Milevoj, M.; Furnari, Maurizio; Rizzi, S.; Rea, Federico; Marulli, Giuseppe; Ori, Carlo

doi:10.1016/j.transproceed.2009.02.048

Cited by 20 publications

(10 citation statements)

References 25 publications

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“…Reintubation during the index transplant hospitalization was a significant predictor of readmission incidence, which was expected given that reintubation is considered a prognostic factor for lung transplantation survival (62), an indicator for severe graft dysfunction (63), and associated with further complications such as nosocomial pneumonia (64). Novel methods to treat post-transplant respiratory failure and decrease the need for reintubation, such as rapid extubation and noninvasive positive pressure ventilation (NIPPV) (63), may improve health outcomes and reduce the risk for further complications, leading ultimately to lower readmission risk.…”

Section: Discussionmentioning

confidence: 89%

See 1 more Smart Citation

Pattern and Predictors of Hospital Readmission During the First Year After Lung Transplantation

Alrawashdeh

Zomak²,

Dew

et al. 2017

American Journal of Transplantation

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Hospital readmission after lung transplantation negatively impacts quality of life and resource utilization. A secondary analysis of data collected prospectively was conducted to identify the pattern (incidence, count, cumulative duration), reasons and predictors of readmission for 201 lung transplant recipients (LTR) assessed at 2, 6, and 12 months post-discharge. The majority of LTRs (83.6%) were readmitted, and 64.2% had multiple readmissions. The median cumulative readmission duration was 19 days. The main reasons for readmission were: other than infection or rejection (55.5%), infection only (25.4%), rejection only (9.9%), and infection and rejection (0.7%). LTRs who required reintubation (odd ratio [OR]=1.92; p=.008) or discharged to care facilities (OR=2.78; p=.008) were at higher risk for readmission with a 95.7% cumulative incidence of readmission at 12 months. Thirty-day readmission (40.8%) was not significantly predicted by baseline characteristics. Predictors for higher readmission count were lower capacity to engage in self-care (incidence rate ratio [IRR]=0.99; p=.03) and discharge to care facilities (IRR=1.45; p=.01). Predictors for longer cumulative readmission duration were older age (arithmetic mean ratio [AMR]=1.02; p=.009), return to ICU (AMR=2.00; p=.01), and lower capacity to engage in self-care (AMR=0.99; p=.03). Identifying LTRs at risk may assist in optimizing pre-discharge care, discharge planning, and long-term follow-up.

show abstract

Section: Discussionmentioning

confidence: 89%

“…Novel methods to treat post-transplant respiratory failure and decrease the need for reintubation, such as rapid extubation and noninvasive positive pressure ventilation (NIPPV) (63), may improve health outcomes and reduce the risk for further complications, leading ultimately to lower readmission risk.…”

Section: Discussionmentioning

confidence: 99%

Pattern and Predictors of Hospital Readmission During the First Year After Lung Transplantation

Alrawashdeh

Zomak²,

Dew

et al. 2017

American Journal of Transplantation

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show abstract

“…This condition is associated with low RR and small V T s, which sometimes hinder rapid weaning. A valid adjunct in accelerating the extubation process might be noninvasive ventilation applied to assist the patient's spontaneous ventilation soon after early removal of an invasive airway [49]. Noninvasive ventilation is increasingly used in the postoperative care of LTx patients who do not completely fulfill the criteria for safe extubation.…”

Section: Weaning From Mechanical Ventilationmentioning

confidence: 99%

Anesthetic considerations for nontransplant procedures in lung transplant patients

Feltracco

Falasco

Barbieri

et al. 2011

Journal of Clinical Anesthesia

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“…NIV can also play an important role in preventing post-operative pulmonary complications in high-risk chronic ventilator users as a consequence of a restrictive lung pathology [40]. Other studies show that NIV has a role in ARF after solid organ transplantation (liver, lung and renal) [41,42].…”

Section: Abdominal and Thoracic Surgerymentioning

confidence: 99%