Noninvasive ventilation after lung transplantation
Kilger, E.; Briegel, J.; Haller, M.; Hummel, T.; Groh, J.; Dienemann, H.; Welz, A.; Forst, H.
Medizinische Klinik 90(1 Suppl 1: 26-28
1995
ISSN/ISBN: 0723-5003 PMID: 7616913 Document Number: 449131
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. 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). 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). Non-invasive ventilation after lung transplantation enables earlier extubation and prevents weaning failure.