title: [Noninvasive ventilation after lung transplantation].
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.
  
  
  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).
  
  
  CONCLUSIONS
  Non-invasive ventilation after lung transplantation enables earlier extubation and prevents weaning failure.
authors.affiliation: Institut für Anästhesiologie, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.
authors.forename: E
authors.initials: E
authors.lastname: Kilger
authors.forename: J
authors.initials: J
authors.lastname: Briegel
authors.forename: M
authors.initials: M
authors.lastname: Haller
authors.forename: T
authors.initials: T
authors.lastname: Hummel
authors.forename: J
authors.initials: J
authors.lastname: Groh
authors.forename: H
authors.initials: H
authors.lastname: Dienemann
authors.forename: A
authors.initials: A
authors.lastname: Welz
authors.forename: H
authors.initials: H
authors.lastname: Forst
mesh_terms: D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation; D008173:Lung Diseases, Obstructive / Q000503:physiopathology / Q000601:surgery*; D016040:Lung Transplantation / Q000502:physiology*; D008397:Masks; D010100:Oxygen / Q000097:blood; D011182:Postoperative Care; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000503:physiopathology / Q000601:surgery*; D015300:Ventilator Weaning
chemical_list: D010100:Oxygen