Solid organ transplant training objectives for residents

Masclans, Joan Ramón; Vicente, R.; Ballesteros, M.Á.; Sabater, J.; Roca, Oriol; Rello, Jordi

doi:10.1016/j.medine.2012.10.014

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…However, these articles generally do not mention the practical aspects of implementation with direct relevance to the attending physician. As a matter of fact, there are no guidelines for the management of the early postoperative period after lung transplantation [1,[4][5][6][7]. This article presents a practical approach on how to manage LTRs in the immediate postoperative phase, based on the authors' centre experience, providing evidence to support this practice wherever available [8].…”

Section: Introductionmentioning

confidence: 99%

Practical approach to early postoperative management of lung transplant recipients

Schuurmans¹,

Benden²,

İnci³

2013

Swiss Med Wkly

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Meticulous attention to detail during the early postoperative period after lung transplantation is crucial for the overall success of the procedure. It starts in the intensive care unit with the initiation of immunosuppression, implementation of anti-infective strategies and stabilisation of respiratory function. The subsequent days and weeks on the regular ward focus on titration of immunosuppressive drugs, vigilant fluid management, early mobilisation and initiation of physiotherapy. In parallel, the lung transplant recipients are actively taught about self-monitoring and self-management strategies to allow for a smooth transition to outpatient follow-up care. This article intends to communicate the practical aspects and principles of the patient management used at the authors' centre on a daily basis by a multi-disciplinary transplant team, having at its core both a transplant pulmonologist and a thoracic surgeon. It focuses on the first month after lung transplantation, but does not cover surgical techniques, rare complications or long-term management issues of lung transplant recipients. The target audience of this practical guide are advanced trainees of pulmonology, thoracic surgery, intensive care, anaesthesiology and other clinicians involved in the early postoperative care of lung transplant recipients either in the intensive care unit or on the peripheral ward.

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Section: Introductionmentioning

confidence: 99%

Practical approach to early postoperative management of lung transplant recipients

Schuurmans¹,

Benden²,

İnci³

2013

Swiss Med Wkly

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Organ Shortage, Will People's Knowledge be a Path to the Solution?

Cantarovich

2019

NHC

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Organ shortage transforming death into life, which is what organ transplants symbolize, needs the end of somebody life, a scientific miracle of our times, but as well a social problem. Prejudices or ignorance inhibits to offering life to another human being. The consequence of this conflicting situation is that patients waiting for transplantation, “unfairly” die every day. States and Social Security should be involved in this problem. Programming efficient education will be important for change social conduct towards organ donation. As well, several studies emphasize the persistence of an insufficient university medical teams training in transplantation. Organ shortage and waiting lists patient’s mortality is a failure of social communication on organ donation and transplantation. Proposals to review social and university education in current organ shortage crisis might be an ethical duty for states health and education officials. Solidarity is a positive people’s feeling, nevertheless faced with death of a loved one; it does not seem to be an enough reason to justify authorization to donate. For many people, organ donation represents a perverse and unjustified action of mutilation. Considering the negative reactions that often can occur in the moment in which the alternative of deciding the donation of organs of a loved one is presented; we have proposed the inclusion in the social education plans the following concepts: • Organ shortage is a health emergency. • Throughout our lives, we might need organ or tissue transplantation. • Our body after death is a unique source of health to be shared. • Organ donation meant to” share life” more than “to gift life”. • Organ donation should be a social agreement. • People should know the social risks involved in establishing economic incentives for donation. This analysis is made to provide a basic knowledge of a vital medical crisis, and to suggest to decision makers of educational programs useful suggestions for this serious problem. In addition, and very particularly this work is directed to the Society, the main protagonist of this problem, requiring to receiving a correct and detailed information on the dilemma of the lack of organs, in quest that the donation decision will be an act of full awareness. A french philosopher, Jean Rostand has said "To dream you have to know".

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Organ Shortage, Will Peoples Knowledge be a Path to the Solution?

Cantarovich

2021

Highlights on Medicine and Medical Research Vol. 12

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Solid organ transplant training objectives for residents

Cited by 3 publications

References 6 publications

Practical approach to early postoperative management of lung transplant recipients

Practical approach to early postoperative management of lung transplant recipients

Organ Shortage, Will People's Knowledge be a Path to the Solution?

Organ Shortage, Will Peoples Knowledge be a Path to the Solution?

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