Stratification Risk Analysis in Bridging Patients to Lung Transplant on ECMO: The STABLE Risk Score

Habertheuer, Andreas; Richards, Thomas J.; Sertic, F.; Molina, María; Vallabhajosyula, Prashanth; Suzuki, Yoshikazu; Diagne, Dieynaba; Cantu, Edward; Sultan, Ibrahim; Crespo, Maria; Bermúdez, C.

doi:10.1016/j.athoracsur.2020.03.078

Cited by 16 publications

(17 citation statements)

References 23 publications

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“…The crux of this discussion really amounts to identifying the patient populations that would actually benefit from BTT and, subsequently, maximizing the chances of success after lung transplantation. The former is fairly well defined in a recent publication by Habertheuer and colleagues 2 (and discussed in the present article). Their STABLE score highlighted 6 factors to predict in-hospital mortality after lung transplantation in ECMO BTT patients: age >50 years, >75 days on the wait list, dialysis, mechanical ventilation, transplant center volume (</> 50/year), and total bilirubin >1.2.…”

supporting

confidence: 60%

Commentary: Building bridges: Extracorporeal membrane oxygenation bridge-to-lung transplantation requires careful patient selection and management

Patel

Mehaffey

2021

JTCVS Open

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supporting

confidence: 60%

Commentary: Building bridges: Extracorporeal membrane oxygenation bridge-to-lung transplantation requires careful patient selection and management

Patel

Mehaffey

2021

JTCVS Open

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“…VCV and PCV have their own advantages and disadvantages. The main advantage of VCV is to ensure tidal volume, while PCV has obvious advantages in reducing the risk of barotrauma, improving human-machine coordination, reducing patients' respiratory work, and improving gas distribution in the lung and ventilation blood flow ratio [ 8 ]. Park believes that the automatic flow function of the ventilator is a kind of dual control mode.…”

Section: Literature Reviewmentioning

confidence: 99%

Application of Different Ventilation Modes Combined with AutoFlow Technology in Thoracic Surgery

Wang

Yang

Chengzong

et al. 2022

Journal of Healthcare Engineering

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To investigate the effect of AutoFlow on airway pressure and hemodynamics in mechanical ventilation constant volume-control ventilation mode, 100 patients receiving mechanical ventilation were randomly divided into observation group (SIMV-PSV-PEEP + AutoFlow) and control group (SIMV-PSV-PEEP). The results showed that the peak airway pressure and average airway pressure decreased with different flow rate settings and automatic flow conversion ( P < 0.05 ). The peak airway pressure and mean airway pressure decreased with different resistance settings ( P < 0.05 ). With different compliance settings, the peak airway pressure and average airway pressure decreased after being assisted with an automatic converter ( P < 0.05 ). Adding AutoFlow on the basis of SIMV-PSV mode can significantly reduce peak inspiratory pressure (PIP), mean airway pressure (Pmean), and airway resistance (R). There was no significant difference in hemodynamic monitoring results between the observation group and the control group. It is proved that the SIMV constant volume-controlled ventilation mode combined with AutoFlow can not only ensure tidal volume but also avoid excessive airway pressure, which has little effect on hemodynamics.

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“…Habertheuer et al established a quantitative risk score called the “STABLE score”, which helps patient selection as it assesses the risk of post-transplantation in-hospital mortality for patients on ECMO as bridge to transplantation. It includes six factors: recipient’s age, number of days on waiting list, dialysis, transplant center volume, mechanical ventilation, and total bilirubin) [ 39 ]. Interestingly, Furfaro et al drew attention to the fact that among patients on ECMO as bridge to transplantation, those who had primary pulmonary hypertension had a lower transplantation rate than those with obstructive lung disease, cystic fibrosis, and interstitial lung disease [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

New Aspects of Lung Transplantation: A Narrative Overview Covering Important Aspects of Perioperative Management

Fessler

Finet

Fischler

et al. 2022

Life

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The management of lung transplant patients has continued to evolve in recent years. The year 2021 was marked by the publication of the International Consensus Recommendations for Anesthetic and Intensive Care Management of Lung Transplantation. There have been major changes in lung transplant programs over the last few years. This review will summarize the knowledge in anesthesia management of lung transplantation with the most recent data. It will highlight the following aspects which concern anesthesiologists more specifically: (1) impact of COVID-19, (2) future of transplantation for cystic fibrosis patients, (3) hemostasis management, (4) extracorporeal membrane oxygenation management, (5) early prediction of primary graft dysfunction, and (6) pain management.

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Stratification Risk Analysis in Bridging Patients to Lung Transplant on ECMO: The STABLE Risk Score

Cited by 16 publications

References 23 publications

Commentary: Building bridges: Extracorporeal membrane oxygenation bridge-to-lung transplantation requires careful patient selection and management

Commentary: Building bridges: Extracorporeal membrane oxygenation bridge-to-lung transplantation requires careful patient selection and management

Application of Different Ventilation Modes Combined with AutoFlow Technology in Thoracic Surgery

New Aspects of Lung Transplantation: A Narrative Overview Covering Important Aspects of Perioperative Management

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