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Title: [Noninvasive ventilation after lung transplantation]. Author: Kilger E, Briegel J, Haller M, Hummel T, Groh J, Dienemann H, Welz A, Forst H. Journal: Med Klin (Munich); 1995 Apr; 90(1 Suppl 1):26-8. PubMed ID: 7616913. Abstract: BACKGROUND: 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. PATIENTS AND METHODS: 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). RESULTS: 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). CONCLUSION: Non-invasive ventilation after lung transplantation enables earlier extubation and prevents weaning failure.[Abstract] [Full Text] [Related] [New Search]