Literature DB >> 33470359

Impact of implementing a protocol of respiratory care measures and optimization of mechanical ventilation in potential lung donors.

Marco Guillermo Bezzi1,2, Carla Candela Brovia1,2, Juan Manuel Carballo1,2, Maia Inés Elías1,2, Agustina Belén Moreno1,2, Vanesa Romina Ruiz2,3, Fernanda Cordiviola2, David Barbieri2, Adriana Fariña2, Silvina Borello1,2.   

Abstract

OBJECTIVE: To describe the results from the implementation of a respiratory care and mechanical ventilation protocol on potential lung donors who met the conditions for procurement. The secondary objective is to compare the results with historical data.
METHODS: This was a retrospective, observational study. It included potential donors suitable for procurement of organs who had brain death and were hospitalized in critical care units of the Autonomous City of Buenos Aires from April 2017 to March 2018. Main variables: number of potential lung donors that reached the objective of procurement, rate of lungs procured, and rate of implanted lungs. Values of p < 0.05 were considered significant.
RESULTS: Thirty potential lung donors were included, and 23 (88.5%; 95%CI 69.8 - 97.6) met the oxygenation objective. Twenty potential lung donors donated organs, of whom eight donated lungs, with which four double lung transplants and eight single lung transplants were performed. Seven of 12 lungs were procured and implanted in the preprotocol period, while all 12 were under the protocol (p = 0.38). The implantation rate was 58.3% (7/12) in the historical control period and 100% (12/12) (p = 0.04) in the study period.

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Mesh:

Year:  2020        PMID: 33470359      PMCID: PMC7853675          DOI: 10.5935/0103-507X.20200095

Source DB:  PubMed          Journal:  Rev Bras Ter Intensiva        ISSN: 0103-507X


  20 in total

1.  Increasing organ yield through a lung management protocol.

Authors:  Cyndy E Kirschbaum; Sarah Hudson
Journal:  Prog Transplant       Date:  2010-03       Impact factor: 1.187

2.  AARC Clinical Practice Guidelines. Endotracheal suctioning of mechanically ventilated patients with artificial airways 2010.

Authors: 
Journal:  Respir Care       Date:  2010-06       Impact factor: 2.258

Review 3.  [Evaluation and maintenance of the lung donor].

Authors:  Francisco Del Río; Dolores Escudero; Braulio De La Calle; Federico Gordo Vidal; María Valentín Paredes; José Ramón Núñez
Journal:  Med Intensiva       Date:  2009 Jan-Feb       Impact factor: 2.491

4.  Efficacy of recruitment maneuver for improving the brain dead marginal lungs to ideal.

Authors:  S Parto; S Shafaghi; H-R Khoddami-Vishteh; S Mohammad Makki; A Abbasidezfuli; A Daneshvar; K Sheikhy; J Faeghi; F Ghorbani; T Parsa; K Najafizadeh
Journal:  Transplant Proc       Date:  2013       Impact factor: 1.066

5.  [Management of the potential organ donor].

Authors:  Guillermo Bugedo; Sebastián Bravo; Carlos Romero; Ricardo Castro
Journal:  Rev Med Chil       Date:  2014-12       Impact factor: 0.553

Review 6.  Secretion management in the mechanically ventilated patient.

Authors:  Richard D Branson
Journal:  Respir Care       Date:  2007-10       Impact factor: 2.258

7.  Efficacy of a T-piece system and a continuous positive airway pressure system for apnea testing in the diagnosis of brain death.

Authors:  Simon Lévesque; Martin R Lessard; Pierre C Nicole; Stéphan Langevin; François LeBlanc; François Lauzier; Jacques G Brochu
Journal:  Crit Care Med       Date:  2006-08       Impact factor: 7.598

Review 8.  Mechanical ventilatory support in potential lung donor patients.

Authors:  Ruchi Bansal; Adebayo Esan; Dean Hess; Luis F Angel; Stephanie M Levine; Tony George; Suhail Raoof
Journal:  Chest       Date:  2014-07       Impact factor: 9.410

Review 9.  Management to optimize organ procurement in brain dead donors.

Authors:  L Mascia; I Mastromauro; S Viberti; M Vincenzi; M Zanello
Journal:  Minerva Anestesiol       Date:  2008-01-24       Impact factor: 3.051

10.  Benefit of a single recruitment maneuver after an apnea test for the diagnosis of brain death.

Authors:  Marie Paries; Nicolas Boccheciampe; Mathieu Raux; Bruno Riou; Olivier Langeron; Armelle Nicolas-Robin
Journal:  Crit Care       Date:  2012-07-03       Impact factor: 9.097

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  2 in total

1.  Brazilian guidelines for the management of brain-dead potential organ donors. The task force of the Associação de Medicina Intensiva Brasileira, Associação Brasileira de Transplantes de Órgãos, Brazilian Research in Critical Care Network, and the General Coordination of the National Transplant System.

Authors:  Glauco Adrieno Westphal; Caroline Cabral Robinson; Alexandre Biasi Cavalcanti; Anderson Ricardo Roman Gonçalves; Cátia Moreira Guterres; Cassiano Teixeira; Cinara Stein; Cristiano Augusto Franke; Daiana Barbosa da Silva; Daniela Ferreira Salomão Pontes; Diego Silva Leite Nunes; Edson Abdala; Felipe Dal-Pizzol; Fernando Augusto Bozza; Flávia Ribeiro Machado; Joel de Andrade; Luciane Nascimento Cruz; Luciano César Pontes Azevedo; Miriam Cristine Vahl Machado; Regis Goulart Rosa; Roberto Ceratti Manfro; Rosana Reis Nothen; Suzana Margareth Lobo; Tatiana Helena Rech; Thiago Costa Lisboa; Verônica Colpani; Maicon Falavigna
Journal:  Rev Bras Ter Intensiva       Date:  2021 Jan-Mar

2.  Respiratory Care of Big Data Communication to Prevent Respiratory Tract Infection Nursing Analysis of Patients with Heart Failure.

Authors:  Tiantian Lin; Qiaoyan Lin; Yuying Feng; Lingchu Dong
Journal:  Biomed Res Int       Date:  2022-09-01       Impact factor: 3.246

  2 in total

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