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Med Klin (Munich). 1995 Apr;90(1 Suppl 1):26-8.

[Noninvasive ventilation after lung transplantation].

[Article in German]

Author information

1
Institut für Anästhesiologie, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.

Abstract

BACKGROUND:

Non-invasive mechanical ventilation (NIPPV) is an accepted choice of treatment in patients with chronic pulmonary disease and/or acute respiratory failure. Recently NIPPV was also proposed in the postoperative weaning period.

PATIENTS AND METHODS:

Six of 30 patients after lung transplantation were were extubated despite a weaning failure was predicted using well accepted weaning criteria. Therefore, the 6 patients were treated with intermittent-noninvasive ventilation using assisted modes of mechanical ventilation (PSV/CPAP).

RESULTS:

Both, oxygenation (increase in paO2: 18 mm Hg during PSV, 11 mm Hg during CPAP) and pulmonary mechanics (decrease in respiratory rate: 14/min during PSV, 10/min during CPAP; increase in tidal volume: 5 ml/kg during PSV, 3 ml/kg KG during CPAP) improved and the energy expenditure decreased (19% during PSV, 12% during CPAP).

CONCLUSION:

Non-invasive ventilation after lung transplantation enables earlier extubation and prevents weaning failure.

PMID:
7616913
[Indexed for MEDLINE]
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