[Noninvasive ventilation after lung transplantation].
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.
Kilger
E
E
Institut für Anästhesiologie, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.
Briegel
J
J
Haller
M
M
Hummel
T
T
Groh
J
J
Dienemann
H
H
Welz
A
A
Forst
H
H
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
D010100:Oxygen