Noninvasive mechanical ventilation in the treatment of acute respiratory failure due to infectious complications of lung transplantation.
Patients that have undergone lung and heart-lung transplantation may contract severe respiratory infections, often leading to acute respiratory failure requiring mechanical ventilation. Endotracheal intubation may induce infectious complications of the respiratory tract, which can be avoided by noninvasive modes of ventilation. We describe the use of noninvasive modes of ventilation in three cases of acute respiratory failure induced by infectious complication of lung and heart-lung transplantation. In two cases endotracheal intubation was avoided and treatment was successful.
Ambrosino
N
N
Division of Pulmonary Diseases, Medical Center of Montescano, Clinica del Lavoro Foundation, IRCCS, Italy.
Rubini
F
F
Callegari
G
G
Nava
S
S
Fracchia
C
C
D000208:Acute Disease; D000328:Adult; D003586:Cytomegalovirus Infections; D005260:Female; D016041:Heart-Lung Transplantation / Q000009:adverse effects*; D006801:Humans; D007442:Intubation, Intratracheal; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008397:Masks; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy / Q000379:methods; D018410:Pneumonia, Bacterial / Q000150:complications*; D011020:Pneumonia, Pneumocystis / Q000150:complications*; D011024:Pneumonia, Viral / Q000150:complications*; D011175:Positive-Pressure Respiration / Q000379:methods; D012121:Respiration, Artificial / Q000295:instrumentation* / Q000379:methods; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy*; D013203:Staphylococcal Infections