Practical approach to early postoperative management of lung transplant recipients

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 r...

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Main Authors: Macé M. Schuurmans, Christian Benden, Ilhan Inci
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2013-04-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/1673
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author Macé M. Schuurmans
Christian Benden
Ilhan Inci
author_facet Macé M. Schuurmans
Christian Benden
Ilhan Inci
author_sort Macé M. Schuurmans
collection DOAJ
description 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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spelling doaj.art-038617eb0ed24b0590231eee8ec9df0c2022-12-22T04:42:31ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972013-04-01143151610.4414/smw.2013.13773Practical approach to early postoperative management of lung transplant recipientsMacé M. SchuurmansChristian BendenIlhan Inci 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. https://www.smw.ch/index.php/smw/article/view/1673ComplicationsimmunosuppressionInfectionlung transplantationmanagementmedication
spellingShingle Macé M. Schuurmans
Christian Benden
Ilhan Inci
Practical approach to early postoperative management of lung transplant recipients
Swiss Medical Weekly
Complications
immunosuppression
Infection
lung transplantation
management
medication
title Practical approach to early postoperative management of lung transplant recipients
title_full Practical approach to early postoperative management of lung transplant recipients
title_fullStr Practical approach to early postoperative management of lung transplant recipients
title_full_unstemmed Practical approach to early postoperative management of lung transplant recipients
title_short Practical approach to early postoperative management of lung transplant recipients
title_sort practical approach to early postoperative management of lung transplant recipients
topic Complications
immunosuppression
Infection
lung transplantation
management
medication
url https://www.smw.ch/index.php/smw/article/view/1673
work_keys_str_mv AT macemschuurmans practicalapproachtoearlypostoperativemanagementoflungtransplantrecipients
AT christianbenden practicalapproachtoearlypostoperativemanagementoflungtransplantrecipients
AT ilhaninci practicalapproachtoearlypostoperativemanagementoflungtransplantrecipients