Experts discuss the advantages of mechanical ventilation in the Hospital Universitario 12 de Octubre noninvasive.
course on transplantation of lung and respiratory failure.
Madrid, March 2012.- the use of mechanical ventilation not invasive in people with advanced age and indications for pulmonary transplantation have been central themes 12th course of advances in pneumology and neoplasms Torácicas, who has been held at the Hospital Universitario 12 de Octubre of Madrid and in which participated specialists of PneumologyThoracic surgery, rehabilitation and anesthesia.
Mechanical ventilation not invasive plays a very important role in the postoperative thoracic surgery for lung transplantation and may reduce both acute and chronic patients, respiratory failure. With regard to acute respiratory failure caused by apnea, this Madrid hospital performs mechanical ventilation annually and with very satisfactory results to 150 patients with pathologies of great complexity profile.
This treatment applied in patients with respiratory failure in aguada, especially in those with severe exacerbation of COPD – disease pulmonary obstructive chronic – allows to increase their survival, avoid orotraqueal intubation and admission to intensive care. On the other hand, those with chronic respiratory failure can also benefit from this technique, improving their quality of life as sleep.
These procedures provide support in neuromuscular diseases with ventilatory failure, requiring a special follow-up in integrated multidisciplinary units by pulmonologists, neurologists, coordinators of cases, gastroenterologists and otolaryngologists, among others. In this sense, the experience of the unity of Amyotrophic Lateral Sclerosis has been exposed – ELA – of the Hospital 12 de Octubre, one of the five units of ELA in the community of Madrid.
Lung transplantation
The aim of the course has been presenting an overview of the benefits and disadvantages that lung transplantation offers patients with lung diseases, mainly COPD, lung fibrosis, cystic fibrosis and primary pulmonary hypertension, showing the experience of this health centre after 44 lung transplants carried out in the first three years of operation of this unit.
Also been addressed particularly the subject of the referral of the patient, to facilitate this treatment can be carried out with the greatest chances of success. In addition there have been the latest surgical developments aimed at increasing the number of donors as donation in asystolic technique, and techniques of extracorporeal oxygenation – ECMO – to increase the results of this treatment in extreme situations.
The meeting has also served to boost joint protocols among professionals of the unit of lung transplant on October 12 and the rest of pulmonologists of other national centres derive patients for this treatment.
