Postoperative Care of Pediatric Transplant Recipients

2015 ◽  
pp. 916-925
Author(s):  
Mercedes Martinez ◽  
Steven Lobritto ◽  
Jean C. Emond
Keyword(s):  
Postoperative Care ◽  
Transplant Recipients

Heart and Heart-Lung Transplantation: An Update

1996 ◽  
Vol 4 (1) ◽  
pp. 4-13
Author(s):  
David D Yuh ◽  
Robert C Robbins ◽  
Bruce A Reitz
Keyword(s):  
Lung Transplantation ◽  
Postoperative Care ◽  
Organ Preservation ◽  
Surgical Techniques ◽  
Organ Shortage ◽  
Transplant Recipients ◽  
Donor Organ ◽  
The West ◽  
Thoracic Transplantation ◽  
End Stage

Heart and heart-lung transplantation have been established as effective treatments for a wide variety of end-stage cardiopulmonary diseases. Recent years have seen refinements in surgical techniques for cardiopulmonary replacement as well as the selection and postoperative care of thoracic transplant recipients. Despite substantial clinical progress, however, significant problems remain, particularly donor organ shortage, graft rejection, opportunistic infection, and limited organ preservation techniques. Basic and clinical research are currently addressing these problems. In this brief review, we provide an update of our experiences with heart and heart-lung transplantation in the West (particularly at Stanford University), an outline of the active issues in the field, and some thoughts about the development of thoracic transplantation in Asia.

Pediatric Recipients of Living Donor Lobar Lung Transplants: Postoperative Care

2002 ◽  
Vol 12 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Monica V. Horn ◽  
Felicia A. Schenkel ◽  
Marlyn S. Woo ◽  
Vaughn A. Starnes
Keyword(s):  
Postoperative Care ◽  
Living Donor ◽  
Lung Transplant ◽  
Fluid Management ◽  
Transplant Recipients ◽  
Intraoperative Management ◽  
Lung Transplants ◽  
Tube Suction ◽  
Lung Transplant Recipients ◽  
End Stage

Bilateral living donor lobar lung transplantation is a treatment option for selected children and adults with end-stage lung disease. Careful donor evaluation, skilled intraoperative management and surgical technique, and diligent immediate postoperative care and follow-up all contribute to better outcomes. Although medical management of whole lung transplant recipients in the immediate postoperative period is similar to that of lobar lung transplant recipients, there are specific differences. Anatomical distinctions, such as the entire cardiac output flowing to 2 lobes instead of 5, and thoracic space issues with simultaneous mechanical ventilation and chest tube suction, contribute to these differences. Early postoperative care, including initial postoperative stabilization, ventilation, fluid management, rejection/infection surveillance and prophylaxis, and beginning rehabilitation, can be adapted to ensure successful outcomes in these patients.

scholarly journals The Difficulties and Needs of Organ Transplant Recipients during Postoperative Care at Home: A Systematic Review

2020 ◽  
Vol 17 (16) ◽  
pp. 5798
Author(s):  
Fu-Chi Yang ◽  
Hsiao-Mei Chen ◽  
Chiu-Mieh Huang ◽  
Pei-Lun Hsieh ◽  
Shoei-Shen Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Postoperative Care ◽  
Organ Transplant ◽  
Psychological Needs ◽  
Self Management ◽  
Transplant Recipients ◽  
Organ Transplant Recipients ◽  
Care At Home ◽  
At Home

With recent advances in surgery and immunosuppressive drugs, organ transplantation has become a major treatment for irreversible organ failure. However, organ transplant recipients returning home after operation may face ongoing physiological, psychological, and social difficulties. To increase recipients’ quality of life, postoperative care at home is critical. Thus, the aim of this systematic literature review was to explore recipients’ difficulties and needs during postoperative care at home. Our search conformed to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and returned 23 relevant articles published from 1997–2020 in PubMed, MEDLINE, EBSCO, Cochrane, ProQuest, and CEPS, which were assessed using the Modified Jadad Scale or the 32 Consolidated Criteria for Reporting Qualitative Research (COREQ) appraisal indices and then synthesized through narration. The most common difficulties faced were psychological difficulties, followed by physiological, social, and other difficulties; the most common needs were psychological needs, followed by education and information training, social, and other needs. These results demonstrated that healthcare professionals can do more to provide patients with comprehensive care and promote successful self-management and quality of life at home. They also confirmed that collaboration between transplant teams, caregivers, and patients is necessary to optimize postoperative outcomes. We suggest that customized care may promote postoperative patients’ self-management and quality of life at home.

Use of Ultrasonography for Lung Transplant Recipients on Postoperative Care

2018 ◽  
Vol 38 (4) ◽  
pp. 1101-1108
Author(s):  
Sylvain Droneau ◽  
Elise Noel‐Savina ◽  
Gavin Plat ◽  
Marlene Murris‐Espin ◽  
Aurélie Leborgne‐Krams ◽  
...  
Keyword(s):  
Postoperative Care ◽  
Lung Transplant ◽  
Transplant Recipients ◽  
Lung Transplant Recipients

Noninvasive Ventilation in Postoperative Care of Lung Transplant Recipients

2009 ◽  
Vol 41 (4) ◽  
pp. 1339-1344 ◽  
Author(s):  
P. Feltracco ◽  
E. Serra ◽  
S. Barbieri ◽  
M. Milevoj ◽  
M. Furnari ◽  
...  
Keyword(s):  
Noninvasive Ventilation ◽  
Postoperative Care ◽  
Lung Transplant ◽  
Transplant Recipients ◽  
Lung Transplant Recipients

scholarly journals Immunology and Infectious Diseases

2019 ◽  
pp. 106-114
Author(s):  
Joti Juneja Mucci
Keyword(s):  
Critical Care ◽  
Infectious Diseases ◽  
Postoperative Care ◽  
Organ Transplant ◽  
The Other ◽  
Critical Care Medicine ◽  
Detailed Knowledge ◽  
Transplant Recipients ◽  
Organ Transplant Recipients ◽  
Substantial Role

An understanding of infectious diseases and immunology has a substantial role in the practice of critical care medicine, most commonly seen in sepsis or postoperative care. Infectious diseases are not a subject heavily emphasized in core anesthesiology training (the other being nutrition). In many instances, the intricate details of immunologic management are frequently relegated to consulting subspecialists by the average practicing intensivist. Familiarity with the content of this chapter allows an intensivist to demonstrate detailed knowledge of the management of patients with this pathology and of organ transplant recipients. This chapter has an additional emphasis on clinically challenging concepts that likely prepare the reader for practice as well as abstruse questions that could be present on the examination.

Hyperhomocysteinemia in liver transplant recipients

2001 ◽  
Vol 120 (5) ◽  
pp. A562-A562
Author(s):  
A HABIB ◽  
B BACON ◽  
S RAMRAKHIANI
Keyword(s):  
Liver Transplant ◽  
Transplant Recipients ◽  
Liver Transplant Recipients
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