Journal of Cardiothoracic and Vascular Anesthesia
Volume 17, Issue 1 , Pages 29-35 , February 2003

Is very early extubation after lung transplantation feasible?

  • Giorgio Della Rocca, MD

      Affiliations

    • Department of Anesthesia, University of Udine, Udine, Italy
    • ,
  • Cecilia Coccia, MD

      Affiliations

    • Department of Anesthesia, University of Udine, Udine, Italy
    • ,
  • Gabriella M. Costa, MD

      Affiliations

    • Department of Anesthesia, University of Udine, Udine, Italy
    • ,
  • Livia Pompei, MD

      Affiliations

    • Department of Anesthesia, University of Udine, Udine, Italy
    • ,
  • Pierangelo di Marco, MD

      Affiliations

    • Istituto di Anesstesiologia e Rianimazione, University of Rome “La Sapienza,” Rome, Italy
    • ,
  • Federico Pierconti, MD

      Affiliations

    • Istituto di Anesstesiologia e Rianimazione, University of Rome “La Sapienza,” Rome, Italy
    • ,
  • Mila Cappa, MD

      Affiliations

    • Istituto di Anesstesiologia e Rianimazione, University of Rome “La Sapienza,” Rome, Italy
    • ,
  • Frederico Venuta, MD

      Affiliations

    • the Cattedra di Chirurgia Toracica of Rome
    • ,
  • Paolo Pietropaoli, MD

      Affiliations

    • Istituto di Anesstesiologia e Rianimazione, University of Rome “La Sapienza,” Rome, Italy

References 

  1. Cheng DC, Karski J, Peniston C, et al.  Morbidity outcome in early versus conventional tracheal extubation following coronary artery bypass graft surgery. A prospective randomized controlled trial. J Thorac Cardiovasc Surg. 1996;112:755–764
  2. Cheng DC, Karski J, Peniston C, et al.  Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resources use: A prospective randomized controlled trial. Anesthesiology. 1996;85:1300–1310
  3. Siciliano D. Con: early extubation is not preferable to late extubation in patients undergoing coronary artery surgery. J Cardiothorac Vasc Anesth. 1992;6:494–498
  4. Higgins TL. Pro: Early endotracheal extubation is preferable to late extubation in patients following coronary artery surgery. J Cardiothorac Vasc Anesth. 1992;6:488–493
  5. Singh H, Bossard RF. Perioperative anaesthetic considerations for patients undergoing lung transplantation. Can J Anaesth. 1997;44:284–299
  6. Myles PS. Early extubation after lung transplantation. J Cardiothorac Vasc Anesth. 1999;13:247–248
  7. Westerlind A, Nilsson F, Ricksten SE. The use of continuous positive airway pressure by face mask and thoracic epidural analgesia after lung transplantation. J Cardiothorac Vasc Anesth. 1999;13:249–252
  8. Mermel LA, Maki DG. Bacterial pneumonia in solid organ transplantation. Semin Respir Infect. 1990;5:10–29
  9. Cheng D. Anesthetic techniques and early extubation: does it matter?. J Cardiothorac Vasc Anesth. 2000;14:627–630
  10. Dorinsky PM, Hamlin RL, Gadek JE. Alterations in regional blood flow during positive-end exspiratory pressure ventilation. Crit Care Med. 1987;15:106–113
  11. Burns HP, Dayal VS, Scott A, et al.  Laryngotracheal trauma: Observation on its pathogenesis and its prevention following prolonged orotracheal intubation in the adult. Laryngoscope. 1979;89:1316–1325
  12. Torres A, Aznar R, Gatell JM, et al.  Incidence, risk and prognosis factors of nosocomial pneumonia in mechanically ventilated patients. Am Rev Res Dis. 1990;142:523–528
  13. Ben-Haim SA, Amar R, Shofty R, et al.  Low positive end- expiratory pressures improve the left ventricular workload versus coronary blood flow relationship. J Cardiovasc Surg. 1991;32:239–245
  14. Caldwell MT, Murphy PG, Page R, et al.  Timing of extubation after oesophagectomy. Br J Surg. 1993;80:1537–1539
  15. Gross SB. Early extubation: preliminary experience in the cardiothoracic patient population. Am J Crit Care. 1995;4:262–266
  16. Mandell MS, Lockrem J, Kelley SD. Immediate tracheal extubation after liver transplantation. Anesth Analg. 1997;84:249–253
  17. Adatia I, Lillehei C, Arnold JH, et al.  Inhaled nitric oxide in the treatment of postoperative graft dysfuntion after lung transplantation. Ann Thorac Surg. 1994;57:1311–1318
  18. Stock MC, Downs JB, Gauder PK, et al.  Prevention of postoperative pulmonary complications with CPAP, incentive spirometry and conservative therapy. Chest. 1985;87:151–157
  19. Antonelli M, Conti G. Treatment of postoperative respiratory failure. JAMA. 2000;283:2239–2240
  20. Smetana GW. Current concepts: preoperative pulmonary evaluation. N Engl J Med. 1999;340:937–944
  21. Antonelli M, Conti G. Noninvasive ventilation in intensive care unit patients. Curr Opin Crit Care. 2000;6:11–16
  22. Meduri GU, Turner RE, AbouShala N, et al.  Noninvasive positive pressure ventilation via face mask: A firstline intervention in patients with acute hypercapnic and hypoxemic respiratory failure. Chest. 1996;109:179–193
  23. Wysocki M, Tric L, Wolff MA, et al.  Noninvasive pressure support ventilation in patients with acute respiratory failure: a randomized comparison with conventional therapy. Chest. 1995;107:761–768
  24. Ambrosino N, Rubini F, Callegari G, et al.  Noninvasive mechanical ventilation in the treatment of acute respiratory failure due to infectious complications of lung transplantation. Monaldi Arch Chest Dis. 1994;49:311–314
  25. Brochard L, Isabey D, Pichet J, et al.  Reversal of acute exacerbation of chronic obstructive lung disease by inspiratory assistance with a face-mask. N Engl J Med. 1990;323:1523–1530
  26. Antonelli M, Conti G, Bufi M, et al.  Noninvasive ventilation for treatment of acute respiratory failure in patients undergoing solid organ transplantation. A randomized trial. JAMA. 2000;283:235–241

☆ Address reprint requests to Giorgio Della Rocca, MD, Corso Trieste 169/A, 00198 Rome, Italy. E-mail: giorgio.dellarocca@dsc.univd.it

PII: S1053-0770(02)47706-3

doi: 10.1053/jcan.2003.6

Journal of Cardiothoracic and Vascular Anesthesia
Volume 17, Issue 1 , Pages 29-35 , February 2003

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