PMID- 30996633
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200929
IS  - 1205-9838 (Print)
IS  - 2368-6820 (Electronic)
IS  - 1205-9838 (Linking)
VI  - 53
IP  - 3
DP  - 2017 Summer
TI  - Pulmonary rehabilitation after lung transplantation with severe complications: A 
      case report.
PG  - 45-47
AB  - This case study describes a 59-year-old male with a body mass index of 14.4 
      kg/m(2) and a diagnosis of interstitial lung disease, pneumoconiosis, and severe 
      pulmonary hypertension who received a bilateral lung transplant in a hospital in 
      mainland China. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was 
      initiated before the lung transplant; in addition, an emergency thoracotomy was 
      performed three hours afterwards due to uncontrolled bleeding. VA-ECMO was weaned 
      34 hours later, but weaning from the ventilator failed multiple times due to 
      bilateral pneumothorax, weak neuromuscular drive, and muscle strength. A full, 
      personalized rehabilitation program was initiated with the help of a respiratory 
      therapy team and the physician, drawing on the American Thoracic Society/European 
      Respiratory Society Statement on Pulmonary Rehabilitation. This included 
      nutrition support, draining air from the chest pleural cavity, aggressive 
      bronchial-hygiene therapy, a weaning plan, breathing and physical exercises, and 
      psychological support. Eighty-one days after the tracheotomy, the patient was 
      successfully weaned, decannulated, and discharged. A careful, ongoing evaluation 
      and a personalized program assisted with weaning this difficult patient.
FAU - Jing, Guo-Qiang
AU  - Jing GQ
AD  - Binzhou Medical University, Binzhou Medical University Hospital, Intensive Care 
      Unit, Binzhou, Shandong, 256600, PR China.
FAU - Li, Jie
AU  - Li J
AD  - Department of Cardiopulmonary Sciences, Division of Respiratory Care, Rush 
      University Medical Center, Chicago, IL. 60612, USA.
AD  - Pulmonary and critical care medicine, Beijing Chao-Yang Hospital, Capital Medical 
      University, Beijing Institute of Respiratory Medicine, Beijing 100020, PR China.
FAU - Sun, Bing
AU  - Sun B
AD  - Pulmonary and critical care medicine, Beijing Chao-Yang Hospital, Capital Medical 
      University, Beijing Institute of Respiratory Medicine, Beijing 100020, PR China.
FAU - Chu, Huiwen
AU  - Chu H
AD  - Pulmonary and critical care medicine, Beijing Chao-Yang Hospital, Capital Medical 
      University, Beijing Institute of Respiratory Medicine, Beijing 100020, PR China.
FAU - Li, Haichao
AU  - Li H
AD  - Pulmonary and critical care medicine, Beijing Chao-Yang Hospital, Capital Medical 
      University, Beijing Institute of Respiratory Medicine, Beijing 100020, PR China.
FAU - Wang, Xue
AU  - Wang X
AD  - Pulmonary and critical care medicine, Beijing Chao-Yang Hospital, Capital Medical 
      University, Beijing Institute of Respiratory Medicine, Beijing 100020, PR China.
FAU - Tang, Xiao
AU  - Tang X
AD  - Pulmonary and critical care medicine, Beijing Chao-Yang Hospital, Capital Medical 
      University, Beijing Institute of Respiratory Medicine, Beijing 100020, PR China.
LA  - eng
PT  - Case Reports
DEP - 20170801
PL  - Canada
TA  - Can J Respir Ther
JT  - Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie 
      respiratoire : RCTR
JID - 9617402
PMC - PMC6422215
OTO - NOTNLM
OT  - lung transplantation
OT  - rehabilitation
OT  - severe malnutrition
OT  - weaning failure
EDAT- 2017/07/01 00:00
MHDA- 2017/07/01 00:01
PMCR- 2017/07/01
CRDT- 2019/04/19 06:00
PHST- 2019/04/19 06:00 [entrez]
PHST- 2017/07/01 00:00 [pubmed]
PHST- 2017/07/01 00:01 [medline]
PHST- 2017/07/01 00:00 [pmc-release]
AID - 42 [pii]
PST - ppublish
SO  - Can J Respir Ther. 2017 Summer;53(3):45-47. Epub 2017 Aug 1.