keyword
https://read.qxmd.com/read/37537415/multiorgan-recovery-in-a-cadaver-body-using-mild-hypothermic-ecmo-treatment-in-a-murine-model
#21
JOURNAL ARTICLE
Nodir Madrahimov, Vitalii Mutsenko, Ruslan Natanov, Dejan Radaković, André Klapproth, Mohamed Hassan, Mathias Rosenfeldt, Florian Kleefeldt, Ivan Aleksic, Süleyman Ergün, Christoph Otto, Rainer G Leyh, Constanze Bening
BACKGROUND: Transplant candidates on the waiting list are increasingly challenged by the lack of organs. Most of the organs can only be kept viable within very limited timeframes (e.g., mere 4-6 h for heart and lungs exposed to refrigeration temperatures ex vivo). Donation after circulatory death (DCD) using extracorporeal membrane oxygenation (ECMO) can significantly enlarge the donor pool, organ yield per donor, and shelf life. Nevertheless, clinical attempts to recover organs for transplantation after uncontrolled DCD are extremely complex and hardly reproducible...
August 4, 2023: Intensive Care Medicine Experimental
https://read.qxmd.com/read/37463290/tacrolimus-induced-akinetic-mutism-or-epidural-catheter-migration-a-case-report
#22
JOURNAL ARTICLE
Patrick T Hussey, Josiah Sowell, Hanna Hussey, Matthew M Townsley
Differential diagnosis of the underlying cause of new-onset total body paralysis can be challenging and unsatisfying. In akinetic mutism, a rare side effect of tacrolimus, patients become apathetic, mute, and lose voluntary muscle movement. Epidural subarachnoid migration can present with similar symptoms. Delayed emergence/paralysis after anesthesia can include the common culprits of residual operative medications, stroke, as well as tacrolimus-induced akinetic mutism and thoracic epidural migration. We present a case of new-onset total body paralysis, presenting on postoperative day 1 following a double-lung transplant in a patient started on tacrolimus with a thoracic epidural catheter in place...
July 1, 2023: A&A Practice
https://read.qxmd.com/read/37400378/-management-of-liver-transplantation-perioperative-period-in-acute-on-chronic-liver-failure
#23
JOURNAL ARTICLE
B Qi, L Q Yang, H X Yan, W F Yu
Acute-on-chronic liver failure (ACLF) is a potentially reversible entity that occurs in patients with chronic liver disease accompanied with or without cirrhosis and is characterized by extrahepatic organ failure and high short-term mortality. Currently, the most effective treatment method for patients with ACLF is liver transplantation; therefore, admission timing and contraindications must be emphasized. The function of vital organs such as the heart, brain, lungs, and kidneys should be actively supported and protected during the liver transplantation perioperative period in patients with ACLF...
June 20, 2023: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
https://read.qxmd.com/read/37355641/incidence-of-intraoperative-hypotension-during-non-cardiac-surgery-in-community-anesthesia-practice-a-retrospective-observational-analysis
#24
JOURNAL ARTICLE
Wael Saasouh, Anna L Christensen, Fei Xing, Desirée Chappell, Josh Lumbley, Brian Woods, Monty Mythen, Richard P Dutton
BACKGROUND: Intraoperative hypotension (IOH) is well-described in the academic setting but not in community practice. IOH is associated with risk of postoperative morbidity and mortality. This is the first report of IOH in the community setting using the IOH measure definition from the Centers for Medicare and Medicaid Services Merit-based Incentive Payment System program. OBJECTIVES: To describe the incidence of IOH in the community setting; assess variation in IOH by patient-, procedure-, and facility-level characteristics; and describe variation in risk-adjusted IOH across clinicians...
June 24, 2023: Perioperative Medicine
https://read.qxmd.com/read/37263806/development-of-new-donor-specific-and-human-leukocyte-antigen-antibodies-after-transfusion-in-adult-lung-transplantation
#25
JOURNAL ARTICLE
Alexander Stoker, Anne Hicks, Mary Cooter Wright, Azfar Ali, Jacob Klapper, Jessica Poisson, Lorenzo Zaffiri, Dongfeng Chen, Matthew Hartwig, Kamrouz Ghadimi, Ian Welsby, Brandi Bottiger
OBJECTIVES: The development of new human leukocyte antigens (HLAs) and donor-specific antibodies (DSAs) in patients are associated with worse outcomes following lung transplantation. The authors aimed to examine the relationship between blood product transfusion in the first 72 hours after lung transplantation and the development of HLA antibodies, including DSAs. DESIGN: A retrospective observational study. SETTING: At a single academic tertiary center...
April 29, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/37251530/-surgery-of-old-people-thoracic-surgery
#26
REVIEW
Jonas Peter Ehrsam, Clemens Aigner
BACKGROUND: The incidence of a large number of diseases relevant to thoracic surgery increases with age; however, old age is still frequently considered a contraindication per se for curative interventions and extensive surgical procedures. OBJECTIVE: Overview of the current relevant literature, derivation of recommendations for patient selection as well as preoperative, perioperative and postoperative optimization. MATERIAL AND METHODS: Analysis of the current study situation...
2023: Wiener Klinisches Magazin: Beilage Zur Wiener Klinischen Wochenschrift
https://read.qxmd.com/read/37181030/nursing-care-of-a-child-with-severe-interstitial-pneumonia-complicated-by-acute-rejection-after-lung-transplantation-a-case-report
#27
Danxia Huang, Run Li, Ying Chen, Xiuhua Li, Zhiqing Zhan, Xuan Li, Minting Kuang, Guolong Zhang
BACKGROUND: Acute rejection after transplantation occurs as a result of complex immune responses following the detection of the major histocompatibility complex of the donors in recipients. As one of the risk factors of chronic rejection, acute rejection can directly lead to death. Therefore, early prevention and monitoring of transplant patients is critical. Pediatric acute rejection after lung transplantation is relatively rare compared to adults, and it remains a considerable challenge since information on rare primary disease complicated by acute rejection after lung transplantation in children is extremely limited, with only a single case series reported in the literature...
April 29, 2023: Translational Pediatrics
https://read.qxmd.com/read/37006169/clinical-tools-to-assess-functional-capacity-before-elective-non-cardiac-surgery-a-scoping-review-protocol
#28
JOURNAL ARTICLE
Julian F Daza, Tyler R Chesney, Shabbir M H Alibhai, Erin D Kennedy, Gerald Lebovic, David Lightfoot, Arnaud R Mbadjeu Hondjeu, Juan F Morales, Bianca Pivetta, Rachel Jolley, Elizabeth Racz, Luke Wilmshurst, Duminda N Wijeysundera
OBJECTIVE: The objective of this scoping review is to map the evidence on clinical tools to assess functional capacity prior to elective non-cardiac surgery. INTRODUCTION: Functional capacity is a strong prognostic indicator before surgery, which can be used to identify patients at elevated risk of postoperative complications. Yet, there is no consensus on which clinical tools should be used to assess functional capacity in patients prior to non-cardiac surgery...
April 3, 2023: JBI evidence synthesis
https://read.qxmd.com/read/36964081/perioperative-outcomes-during-double-lung-transplantation-and-retransplantation-in-cystic-fibrosis-patients-a-monocentric-cohort-study
#29
JOURNAL ARTICLE
Julien Fessler, Matthieu Glorion, Michaël Finet, Claire Soniak, Sylvie Colin de Verdiere, Edouard Sage, Antoine Roux, Benjamin Zuber, Marc Fischler, Morgan Le Guen, Alexandre Vallée
OBJECTIVE: Life expectancy for lung-transplant patients, especially those with cystic fibrosis (CF), is leading increasingly to more retransplantations. DESIGN: Retrospective monocentric cohort study. SETTING: Foch University Hospital, Suresnes, France. PARTICIPANTS: CF patients having had a primary double-lung transplantation (pLgTx) or a retransplantation (reLgTx) from 2012 to 2021. INTERVENTIONS: None...
February 23, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/36868904/cardiothoracic-transplant-anesthesia-selected-highlights-part-i-lung-transplantation
#30
JOURNAL ARTICLE
Andrew M Courtwright, Jagan Devarajan, Ashley Virginia Fritz, Archer Kilbourne Martin, Barbara Wilkey, Sudhakar Subramani, Christopher M Cassara, Justin N Tawil, Andrea N Miltiades, Michael L Boisen, Brandi A Bottiger, Angela Pollak, Theresa A Gelzinis
No abstract text is available yet for this article.
January 29, 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/36808138/cricothyrotomy-for-an-unexpected-cannot-intubate-cannot-ventilate-situation-for-a-patient-with-chronic-graft-versus-host-disease-after-induction-of-general-anesthesia-a-case-report
#31
JOURNAL ARTICLE
Soichi Tanaka, Shunsuke Tachibana, Keito Kusakabe, Keiko Wakasugi, Hajime Sonoda, Michiaki Yamakage
BACKGROUND Chronic graft-versus-host disease (GVHD) is a major complication of hematopoietic stem cell transplantations. Due to fibrotic changes, patients with GVHD are at risk for difficult airway management. We encountered a case of chronic GVHD that went into a "cannot intubate, cannot ventilate" (CICV) condition after induction of general anesthesia and was managed using cricothyrotomy. CASE REPORT A 45-year-old man with uncontrolled chronic GVHD developed pneumothorax of the right lung. Thoracoscopic dissection of the adhesions, closure of the pneumostomy, and drainage under general anesthesia were planned...
February 20, 2023: American Journal of Case Reports
https://read.qxmd.com/read/36722586/use-of-methylene-blue-to-treat-vasoplegia-syndrome-in-cystic-fibrosis-patients-undergoing-lung-transplantation-a-case-series
#32
JOURNAL ARTICLE
Gabriel C Washington, Christian T O'Donnell, Jai Madhok, Kiah M Williams, Charles C Hill
BACKGROUND: Several studies have demonstrated the utility of methylene blue (MB) to treat vasoplegic syndrome (VS), but some have cautioned against its routine use in lung transplantation with only two cases described in prominent literature. Cystic fibrosis patients commonly have chronic infections which predispose them to a systemic inflammatory syndrome-like vasoplegic response during lung transplantation. We present 13 cystic fibrosis patients who underwent lung transplantation and received MB for vasoplegic syndrome while on cardiopulmonary bypass, with or without inhaled pulmonary vasodilator therapy...
2023: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/36676041/new-aspects-of-lung-transplantation-a-narrative-overview-covering-important-aspects-of-perioperative-management
#33
REVIEW
Julien Fessler, Michaël Finet, Marc Fischler, Morgan Le Guen
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...
December 28, 2022: Life
https://read.qxmd.com/read/36590527/current-status-and-training-needs-of-trainee-anesthesiologists-in-lung-transplantation-anesthesia-in-china-a-single-center-survey
#34
JOURNAL ARTICLE
Yan Zhou, Zhong Qin, Guilong Wang, Wenyi Chen, Xin Zhang
BACKGROUND: Perioperative management involving anesthesiologists plays an important role in prognosis of recipients after lung transplantation. Since the development of lung transplantation, the demand for specialized anesthesiologists continues to increase. As the largest lung transplant center in China, the Wuxi People's Hospital was tasked with trainee anesthesiologists throughout the country in lung transplantation anesthesia. This study aimed to evaluate the current status and training needs of anesthesiologists for the anesthetic management of lung transplantation in Wuxi People's Hospital between 2015 to 2020...
December 2022: Heliyon
https://read.qxmd.com/read/36569692/thoracic-erector-spinae-plane-catheter-as-a-bridge-to-patient-controlled-thoracic-epidural-analgesia-in-unilateral-lung-transplantation
#35
Jason Podolnick, Cierra Grubbs, Jennie Johnson, Anna Weyand, Roland Flores
Erector spinae plane (ESP) blocks may be an acceptable alternative to thoracic epidural analgesia during the postoperative period in lung transplant patients. In this case report, we describe the use of an ESP block to manage acute postoperative pain in a unilateral lung transplant, although it was inferior to the thoracic epidural, which was eventually placed.
November 2022: Curēus
https://read.qxmd.com/read/36531001/long-term-follow-up-of-patients-with-hematological-malignancies-treated-with-total-body-irradiation-using-intensity-modulated-radiation-therapy
#36
JOURNAL ARTICLE
Colton Ladbury, Claire Hao, Dongyun Yang, Susanta Hui, Chunhui Han, An Liu, Amandeep Salhotra, Ryotaro Nakamura, Joseph Rosenthal, Anthony Stein, Jeffrey Wong, Savita Dandapani
BACKGROUND: With the advent of modern radiation treatment technologies such as intensity modulated radiation therapy (IMRT), there has been increasing interest in its use for total body irradiation (TBI) conditioning regimens for hematopoietic cell transplantation (HCT) to achieve lower doses to critical organs such as the lungs and kidneys. Although this has been reported on in early studies, long-term safety and efficacy data is limited. METHODS: We performed a single institution matched-pair retrospective analysis of patients treated with IMRT TBI and standard TBI between 2010 and 2020 to provide data on long-term outcomes...
2022: Frontiers in Oncology
https://read.qxmd.com/read/36441200/-surgery-of-old-people-thoracic-surgery
#37
REVIEW
Jonas Peter Ehrsam, Clemens Aigner
BACKGROUND: The incidence of a large number of diseases relevant to thoracic surgery increases with age; however, old age is still frequently considered a contraindication per se for curative interventions and extensive surgical procedures. OBJECTIVE: Overview of the current relevant literature, derivation of recommendations for patient selection as well as preoperative, perioperative and postoperative optimization. MATERIAL AND METHODS: Analysis of the current study situation...
November 28, 2022: Chirurgie (Heidelb)
https://read.qxmd.com/read/36437141/the-year-in-cardiothoracic-and-vascular-anesthesia-selected-highlights-from-2022
#38
REVIEW
Archer Kilbourne Martin, Jared W Feinman, Himani V Bhatt, Ashley Virginia Fritz, Sudhakar Subramani, Anita K Malhotra, Matthew M Townsley, Archit Sharma, Saumil J Patel, Bao Ha, Jane L Gui, Ahmed Zaky, Shelby Labe, Miguel T Teixeira, Steven T Morozowich, Menachem M Weiner, Harish Ramakrishna
This special article is the 15th in an annual series for the Journal of Cardiothoracic and Vascular Anesthesia. The authors thank the editor-in-chief Dr. Kaplan and the editorial board for the opportunity to continue this series, namely the research highlights of the past year in the specialties of cardiothoracic and vascular anesthesiology. The major themes selected for 2022 are outlined in this introduction, and each highlight is reviewed in detail in the main body of the article. The literature highlights, in the specialties for 2022, begin with an update on COVID-19 therapies, with a focus on the temporal updates in a wide range of therapies, progressing from medical to the use of extracorporeal membrane oxygenation and, ultimately, with lung transplantation in this high-risk group...
February 2023: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/36431341/effect-of-propofol-versus-sevoflurane-anesthesia-on-acute-kidney-injury-after-lung-transplantation-surgery-a-prospective-randomized-controlled-trial
#39
JOURNAL ARTICLE
Young Song, Hyo-Chae Paik, Namo Kim, Heejae Jung, Jin-Gu Lee, Young-Chul Yoo
This prospective randomized controlled trial aimed to compare the effects of sevoflurane and propofol anesthesia on the occurrence of acute kidney injury (AKI) following lung transplantation (LTx) surgery. Sixty adult patients undergoing bilateral LTx were randomized to receive either inhalation of sevoflurane or continuous infusion of propofol for general anesthesia. The primary outcomes were AKI incidence according to the Acute Kidney Injury Network (AKIN) criteria and blood biomarker of kidney injury, including neutrophil gelatinase-associated lipocalin (NGAL) and cystatin C levels within 48 h of surgery...
November 21, 2022: Journal of Clinical Medicine
https://read.qxmd.com/read/36250808/perioperative-circulatory-support-and-management-for-lung-transplantation-a-case-based-review
#40
JOURNAL ARTICLE
Hong Liang, Ashley V Fritz, Archer K Martin
Lung transplantation (LTx) historically was performed with cardiopulmonary bypass (CPB) or Off-pump. Recent data suggest an increased interest in extracorporeal membrane oxygenation (ECMO) as perioperative circulatory support by many lung transplantation centers worldwide. However, there are no established guidelines for anesthetic management for LTx. We present a patient with a history of systemic sclerosis and interstitial lung disease complicated by acute onset of systemic pulmonary hypertension and right heart failure undergoing LTx...
March 2023: Seminars in Cardiothoracic and Vascular Anesthesia
keyword
keyword
15156
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.