Practical Approach to Emergencies in Lung Transplant Recipients: How We Do It
Lung transplant recipients (LTRs) are prone to medical complications and emergencies due to the transplanted organ being in constant direct contact with the environment and the need for life-long profound immunosuppression (IS). As a result of these specific circumstances, the medical and surgical m...
Gespeichert in:
| Veröffentlicht in: | Respiration 2012-01, Vol.84 (2), p.163-175 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 175 |
|---|---|
| container_issue | 2 |
| container_start_page | 163 |
| container_title | Respiration |
| container_volume | 84 |
| creator | Schuurmans, Macé M. Tini, Gabrielo M. Zuercher, Alice Hofer, Markus Benden, Christian Boehler, Annette |
| description | Lung transplant recipients (LTRs) are prone to medical complications and emergencies due to the transplanted organ being in constant direct contact with the environment and the need for life-long profound immunosuppression (IS). As a result of these specific circumstances, the medical and surgical management of LTRs frequently differs from usual standard care. Therefore, we outline here some of the principles we take into account when dealing with the most frequent medical emergencies encountered in our lung transplant cohort in Zurich. The main topics dealt with are: diagnostics and treatment of infections, gastrointestinal emergencies, IS and other medication issues as well as work-up of unclear inflammatory signs and peri-operative precautions in LTRs. Early post-operative transplant complications, rare medical emergencies and surgical problems are not covered. Our report is intended to help internists and pulmonologists new to the field to obtain a better understanding of the peculiarities of LTRs and their management. |
| doi_str_mv | 10.1159/000339345 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1032737301</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2782994741</sourcerecordid><originalsourceid>FETCH-LOGICAL-c369t-33ab21e4f1b07d76fca0642dd0820b3f6b1036b06681d71ad59fe67a64d97f993</originalsourceid><addsrcrecordid>eNpd0M1LwzAYBvAgipvTg3eRgBc9VN8kbdJ4G3M6YaLIxGNJ03R29sukRfzvzdjcwdN7-b0PDw9CpwSuCYnkDQAwJlkY7aEhCSkLgEV8Hw0BaBQIycgAHTm3AiBRHNNDNKA0ZpRSGKKnF6t0V2hV4nHb2kbpD9w1eFoZuzS1LozDRY3nfb3EC6tq15aq7vCr0UVbmLpzt3jWfON3g-8a_Ngdo4Nclc6cbO8Ivd1PF5NZMH9-eJyM54FmXHYBYyqlxIQ5SUFkgudaAQ9plkFMIWU5TwkwngLnMckEUVkkc8OF4mEmRS4lG6HLTa5v_NUb1yVV4bQpfTnT9C7x71QwwYB4evGPrpre1r6dVzJihEpYB15tlLaNc9bkSWuLStkfj5L1xsluY2_Pt4l9WplsJ_9G9eBsAz6VH9HuwPb_FzAofGs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1095312909</pqid></control><display><type>article</type><title>Practical Approach to Emergencies in Lung Transplant Recipients: How We Do It</title><source>MEDLINE</source><source>Karger Journals</source><source>Alma/SFX Local Collection</source><creator>Schuurmans, Macé M. ; Tini, Gabrielo M. ; Zuercher, Alice ; Hofer, Markus ; Benden, Christian ; Boehler, Annette</creator><creatorcontrib>Schuurmans, Macé M. ; Tini, Gabrielo M. ; Zuercher, Alice ; Hofer, Markus ; Benden, Christian ; Boehler, Annette</creatorcontrib><description>Lung transplant recipients (LTRs) are prone to medical complications and emergencies due to the transplanted organ being in constant direct contact with the environment and the need for life-long profound immunosuppression (IS). As a result of these specific circumstances, the medical and surgical management of LTRs frequently differs from usual standard care. Therefore, we outline here some of the principles we take into account when dealing with the most frequent medical emergencies encountered in our lung transplant cohort in Zurich. The main topics dealt with are: diagnostics and treatment of infections, gastrointestinal emergencies, IS and other medication issues as well as work-up of unclear inflammatory signs and peri-operative precautions in LTRs. Early post-operative transplant complications, rare medical emergencies and surgical problems are not covered. Our report is intended to help internists and pulmonologists new to the field to obtain a better understanding of the peculiarities of LTRs and their management.</description><identifier>ISSN: 0025-7931</identifier><identifier>EISSN: 1423-0356</identifier><identifier>DOI: 10.1159/000339345</identifier><identifier>PMID: 22832220</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Anti-Infective Agents - administration & dosage ; Cardiovascular Diseases - diagnosis ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - physiopathology ; Cardiovascular Diseases - therapy ; Early Medical Intervention - methods ; Early Medical Intervention - standards ; Emergencies ; Emergency medical care ; Emergency Service, Hospital - standards ; Gastrointestinal Diseases - diagnosis ; Gastrointestinal Diseases - etiology ; Gastrointestinal Diseases - physiopathology ; Gastrointestinal Diseases - therapy ; Graft Rejection - diagnosis ; Graft Rejection - immunology ; Graft Rejection - physiopathology ; Graft Rejection - therapy ; Humans ; Immunosuppression - adverse effects ; Immunosuppression - methods ; Immunosuppressive Agents - administration & dosage ; Immunosuppressive Agents - adverse effects ; Lung Transplantation - adverse effects ; Lung Transplantation - immunology ; Lung Transplantation - methods ; Lungs ; Monitoring, Immunologic - methods ; Postoperative Care - methods ; Postoperative Complications - physiopathology ; Postoperative Complications - therapy ; Practice Guidelines as Topic ; Respiratory Function Tests - methods ; Respiratory Tract Infections - diagnosis ; Respiratory Tract Infections - etiology ; Respiratory Tract Infections - physiopathology ; Respiratory Tract Infections - therapy ; Switzerland ; The Opinion Corner ; Transplants & implants</subject><ispartof>Respiration, 2012-01, Vol.84 (2), p.163-175</ispartof><rights>2012 S. Karger AG, Basel</rights><rights>Copyright © 2012 S. Karger AG, Basel.</rights><rights>Copyright (c) 2012 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-33ab21e4f1b07d76fca0642dd0820b3f6b1036b06681d71ad59fe67a64d97f993</citedby><cites>FETCH-LOGICAL-c369t-33ab21e4f1b07d76fca0642dd0820b3f6b1036b06681d71ad59fe67a64d97f993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22832220$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schuurmans, Macé M.</creatorcontrib><creatorcontrib>Tini, Gabrielo M.</creatorcontrib><creatorcontrib>Zuercher, Alice</creatorcontrib><creatorcontrib>Hofer, Markus</creatorcontrib><creatorcontrib>Benden, Christian</creatorcontrib><creatorcontrib>Boehler, Annette</creatorcontrib><title>Practical Approach to Emergencies in Lung Transplant Recipients: How We Do It</title><title>Respiration</title><addtitle>Respiration</addtitle><description>Lung transplant recipients (LTRs) are prone to medical complications and emergencies due to the transplanted organ being in constant direct contact with the environment and the need for life-long profound immunosuppression (IS). As a result of these specific circumstances, the medical and surgical management of LTRs frequently differs from usual standard care. Therefore, we outline here some of the principles we take into account when dealing with the most frequent medical emergencies encountered in our lung transplant cohort in Zurich. The main topics dealt with are: diagnostics and treatment of infections, gastrointestinal emergencies, IS and other medication issues as well as work-up of unclear inflammatory signs and peri-operative precautions in LTRs. Early post-operative transplant complications, rare medical emergencies and surgical problems are not covered. Our report is intended to help internists and pulmonologists new to the field to obtain a better understanding of the peculiarities of LTRs and their management.</description><subject>Anti-Infective Agents - administration & dosage</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - physiopathology</subject><subject>Cardiovascular Diseases - therapy</subject><subject>Early Medical Intervention - methods</subject><subject>Early Medical Intervention - standards</subject><subject>Emergencies</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - standards</subject><subject>Gastrointestinal Diseases - diagnosis</subject><subject>Gastrointestinal Diseases - etiology</subject><subject>Gastrointestinal Diseases - physiopathology</subject><subject>Gastrointestinal Diseases - therapy</subject><subject>Graft Rejection - diagnosis</subject><subject>Graft Rejection - immunology</subject><subject>Graft Rejection - physiopathology</subject><subject>Graft Rejection - therapy</subject><subject>Humans</subject><subject>Immunosuppression - adverse effects</subject><subject>Immunosuppression - methods</subject><subject>Immunosuppressive Agents - administration & dosage</subject><subject>Immunosuppressive Agents - adverse effects</subject><subject>Lung Transplantation - adverse effects</subject><subject>Lung Transplantation - immunology</subject><subject>Lung Transplantation - methods</subject><subject>Lungs</subject><subject>Monitoring, Immunologic - methods</subject><subject>Postoperative Care - methods</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - therapy</subject><subject>Practice Guidelines as Topic</subject><subject>Respiratory Function Tests - methods</subject><subject>Respiratory Tract Infections - diagnosis</subject><subject>Respiratory Tract Infections - etiology</subject><subject>Respiratory Tract Infections - physiopathology</subject><subject>Respiratory Tract Infections - therapy</subject><subject>Switzerland</subject><subject>The Opinion Corner</subject><subject>Transplants & implants</subject><issn>0025-7931</issn><issn>1423-0356</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0M1LwzAYBvAgipvTg3eRgBc9VN8kbdJ4G3M6YaLIxGNJ03R29sukRfzvzdjcwdN7-b0PDw9CpwSuCYnkDQAwJlkY7aEhCSkLgEV8Hw0BaBQIycgAHTm3AiBRHNNDNKA0ZpRSGKKnF6t0V2hV4nHb2kbpD9w1eFoZuzS1LozDRY3nfb3EC6tq15aq7vCr0UVbmLpzt3jWfON3g-8a_Ngdo4Nclc6cbO8Ivd1PF5NZMH9-eJyM54FmXHYBYyqlxIQ5SUFkgudaAQ9plkFMIWU5TwkwngLnMckEUVkkc8OF4mEmRS4lG6HLTa5v_NUb1yVV4bQpfTnT9C7x71QwwYB4evGPrpre1r6dVzJihEpYB15tlLaNc9bkSWuLStkfj5L1xsluY2_Pt4l9WplsJ_9G9eBsAz6VH9HuwPb_FzAofGs</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Schuurmans, Macé M.</creator><creator>Tini, Gabrielo M.</creator><creator>Zuercher, Alice</creator><creator>Hofer, Markus</creator><creator>Benden, Christian</creator><creator>Boehler, Annette</creator><general>S. Karger AG</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20120101</creationdate><title>Practical Approach to Emergencies in Lung Transplant Recipients: How We Do It</title><author>Schuurmans, Macé M. ; Tini, Gabrielo M. ; Zuercher, Alice ; Hofer, Markus ; Benden, Christian ; Boehler, Annette</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-33ab21e4f1b07d76fca0642dd0820b3f6b1036b06681d71ad59fe67a64d97f993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Anti-Infective Agents - administration & dosage</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - physiopathology</topic><topic>Cardiovascular Diseases - therapy</topic><topic>Early Medical Intervention - methods</topic><topic>Early Medical Intervention - standards</topic><topic>Emergencies</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital - standards</topic><topic>Gastrointestinal Diseases - diagnosis</topic><topic>Gastrointestinal Diseases - etiology</topic><topic>Gastrointestinal Diseases - physiopathology</topic><topic>Gastrointestinal Diseases - therapy</topic><topic>Graft Rejection - diagnosis</topic><topic>Graft Rejection - immunology</topic><topic>Graft Rejection - physiopathology</topic><topic>Graft Rejection - therapy</topic><topic>Humans</topic><topic>Immunosuppression - adverse effects</topic><topic>Immunosuppression - methods</topic><topic>Immunosuppressive Agents - administration & dosage</topic><topic>Immunosuppressive Agents - adverse effects</topic><topic>Lung Transplantation - adverse effects</topic><topic>Lung Transplantation - immunology</topic><topic>Lung Transplantation - methods</topic><topic>Lungs</topic><topic>Monitoring, Immunologic - methods</topic><topic>Postoperative Care - methods</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - therapy</topic><topic>Practice Guidelines as Topic</topic><topic>Respiratory Function Tests - methods</topic><topic>Respiratory Tract Infections - diagnosis</topic><topic>Respiratory Tract Infections - etiology</topic><topic>Respiratory Tract Infections - physiopathology</topic><topic>Respiratory Tract Infections - therapy</topic><topic>Switzerland</topic><topic>The Opinion Corner</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schuurmans, Macé M.</creatorcontrib><creatorcontrib>Tini, Gabrielo M.</creatorcontrib><creatorcontrib>Zuercher, Alice</creatorcontrib><creatorcontrib>Hofer, Markus</creatorcontrib><creatorcontrib>Benden, Christian</creatorcontrib><creatorcontrib>Boehler, Annette</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Respiration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schuurmans, Macé M.</au><au>Tini, Gabrielo M.</au><au>Zuercher, Alice</au><au>Hofer, Markus</au><au>Benden, Christian</au><au>Boehler, Annette</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Practical Approach to Emergencies in Lung Transplant Recipients: How We Do It</atitle><jtitle>Respiration</jtitle><addtitle>Respiration</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>84</volume><issue>2</issue><spage>163</spage><epage>175</epage><pages>163-175</pages><issn>0025-7931</issn><eissn>1423-0356</eissn><abstract>Lung transplant recipients (LTRs) are prone to medical complications and emergencies due to the transplanted organ being in constant direct contact with the environment and the need for life-long profound immunosuppression (IS). As a result of these specific circumstances, the medical and surgical management of LTRs frequently differs from usual standard care. Therefore, we outline here some of the principles we take into account when dealing with the most frequent medical emergencies encountered in our lung transplant cohort in Zurich. The main topics dealt with are: diagnostics and treatment of infections, gastrointestinal emergencies, IS and other medication issues as well as work-up of unclear inflammatory signs and peri-operative precautions in LTRs. Early post-operative transplant complications, rare medical emergencies and surgical problems are not covered. Our report is intended to help internists and pulmonologists new to the field to obtain a better understanding of the peculiarities of LTRs and their management.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>22832220</pmid><doi>10.1159/000339345</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7931 |
| ispartof | Respiration, 2012-01, Vol.84 (2), p.163-175 |
| issn | 0025-7931 1423-0356 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1032737301 |
| source | MEDLINE; Karger Journals; Alma/SFX Local Collection |
| subjects | Anti-Infective Agents - administration & dosage Cardiovascular Diseases - diagnosis Cardiovascular Diseases - etiology Cardiovascular Diseases - physiopathology Cardiovascular Diseases - therapy Early Medical Intervention - methods Early Medical Intervention - standards Emergencies Emergency medical care Emergency Service, Hospital - standards Gastrointestinal Diseases - diagnosis Gastrointestinal Diseases - etiology Gastrointestinal Diseases - physiopathology Gastrointestinal Diseases - therapy Graft Rejection - diagnosis Graft Rejection - immunology Graft Rejection - physiopathology Graft Rejection - therapy Humans Immunosuppression - adverse effects Immunosuppression - methods Immunosuppressive Agents - administration & dosage Immunosuppressive Agents - adverse effects Lung Transplantation - adverse effects Lung Transplantation - immunology Lung Transplantation - methods Lungs Monitoring, Immunologic - methods Postoperative Care - methods Postoperative Complications - physiopathology Postoperative Complications - therapy Practice Guidelines as Topic Respiratory Function Tests - methods Respiratory Tract Infections - diagnosis Respiratory Tract Infections - etiology Respiratory Tract Infections - physiopathology Respiratory Tract Infections - therapy Switzerland The Opinion Corner Transplants & implants |
| title | Practical Approach to Emergencies in Lung Transplant Recipients: How We Do It |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T06%3A35%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Practical%20Approach%20to%20Emergencies%20in%20Lung%20Transplant%20Recipients:%20How%20We%20Do%20It&rft.jtitle=Respiration&rft.au=Schuurmans,%20Mac%C3%A9%20M.&rft.date=2012-01-01&rft.volume=84&rft.issue=2&rft.spage=163&rft.epage=175&rft.pages=163-175&rft.issn=0025-7931&rft.eissn=1423-0356&rft_id=info:doi/10.1159/000339345&rft_dat=%3Cproquest_cross%3E2782994741%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1095312909&rft_id=info:pmid/22832220&rfr_iscdi=true |