| Literature DB >> 26193485 |
Michael Donahoe, Vincent G Valentine, Nydia Chien, Kevin F Gibson, Jay S Raval, Melissa Saul, Jianmin Xue, Yingze Zhang, Steven R Duncan.
Abstract
Entities:
Year: 2015 PMID: 26193485 PMCID: PMC4508023 DOI: 10.1371/journal.pone.0133684
Source DB: PubMed Journal: PLoS One ISSN: 1932-6203 Impact factor: 3.240
Individual Treatment Outcomes.
| # | Pre-Rx O2 | Post-Rx O2 | Comments |
|---|---|---|---|
| 1 | FIO2 0.7 PEEP 10 | FIO2 1.0 PEEP 10 | Lung function worsened during treatment. Died on day 11 after recurrent MI. |
| 2 | FIO2 0.7 PEEP 10 | 50% FM | Despite improvement, her care was changed to comfort measures only at family request. She was extubated successfully and treated with MS gtts. |
| 3 | 15L NC | 5L NC | Less dyspnea and ambulating after treatment. Respiratory function remainedimproved post-treatment. Died suddenly on day 76 (cause uncertain but likely cardiac). |
| 4 | 10L NC | 4L NC | Less dyspnea and ambulating after treatment. Respiratory function remained improved post-treatment for >365 days. |
| 5 | 100% FM Bi-level positive pressure by mask | 5L NC | Less dyspnea and ambulating after treatment. AE-IPF relapsed 3 days later and he required intubation and mechanical ventilation. Repeated TPE x 5, with clinical response and was successfully extubated to 5L NC. He insisted on eating but failed swallow study. He elected CMO status and ate, aspirated, and transferred to SNF on MS gtts. Died on day 32. |
| 6 | 60% FM | Room Air | Much less dyspnea and ambulating after treatment, and discharged from the hospital. Relapse on day 27 and was treated again with 5x TPE, but did not respond. Died on day 40. |
| 7 | 15L NCoxi | Room Air | Good response but disease recurred 2 d after completion of TPE x 5. Responded again to 6 additional TPE, and discharged to home on room air, where he remained until lung transplantation on day 98. |
| 8 | 10L NC | 3L NC | Doing well at home on day 237 |
| 9 | 15L NCoxi | Room Air | Discharged and returned to work. Awaiting transplant on day 137. |
| 10 | 60% FM | FIO2 0.7 PEEP 10 | Did not respond to TPE x 5 and rituximab x 1. Prostate cancer (Stage III) diagnosed by needle biopsy after treatment initiated. Support withdrawn on day 15. |
| 11 | 15L NCoxi | 1L | Discharged to rehabilitation facility. Now at home and doing well on day 96. |
Pre and Post are relative to experimental treatment courses (Rx); O2 requirements denoted as that necessary to maintain resting arterial oxygen saturations at ≥93%; MI = myocardial infarction; FM = face mask; NC = nasal cannula; NCoxi = nasal cannula with “oxymizer” reservoir; CMO = comfort measures only; MS gtts = morphine sulfate infusion; TPE = therapeutic plasma exchange; SNF = skilled nursing facility.