title: [Therapeutic application of collateral ventilation in diffuse pulmonary emphysema: study protocol presentation].
abstract: We present a protocol to test a new surgical procedure for the treatment of patients with diffuse lung emphysema who, after having received the golden standard treatment (pulmonary rehabilitation), continue to present respiratory failure with disabling dyspnea. Ten patients with severe lung hyperinflation will be evaluated. The method proposed is designed to create alternative expiratory passages for air trapped in the emphysematous lung by draining the lung parenchyma, thereby establishing communication between the alveoli and the external environment. The ten patients selected will be required to meet the inclusion criteria and to give written informed consent. Those ten patients will be included in the study pending the approval of the Ethics in Research Committee of the São Paulo Santa Casa School of Medicine, São Paulo, Brazil. The protocol we will employ in order to evaluate the proposed procedure is feasible and will show whether debilitated patients suffering from diffuse pulmonary emphysema can benefit from this procedure, which could represent an alternative to lung transplant or lung volume reduction surgery, the only options currently available.
authors.affiliation: Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil. rsaad@uol.com.br
authors.forename: Roberto
authors.initials: R
authors.lastname: Saad
authors.forename: Vicente
authors.initials: V
authors.lastname: Dorgan Neto
authors.forename: Marcio
authors.initials: M
authors.lastname: Botter
authors.forename: Roberto
authors.initials: R
authors.lastname: Stirbulov
authors.forename: Jorge
authors.initials: J
authors.lastname: Rivaben
authors.forename: Roberto
authors.initials: R
authors.lastname: Gonçalves
mesh_terms: D002985:Clinical Protocols; D004322:Drainage / Q000379:methods*; D006801:Humans; D011650:Pulmonary Alveoli / Q000601:surgery; D011656:Pulmonary Emphysema / Q000601:surgery*; D012123:Pulmonary Ventilation / Q000502:physiology; D011788:Quality of Life; D011795:Surveys and Questionnaires