Paediatric donor lung preservation using Paragonix BAROguard.

Q4 Medicine
Yuriy Stukov, Jeffrey P Jacobs, Mark Bleiweis, Mohammad Aladaileh, Giles J Peek, Liam Kugler, Ahmet Bilgili, Mindaugas Rackauskas
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引用次数: 0

Abstract

Paediatric lung transplantation is a lifesaving option in selected patients with end-stage lung disease. Favourable long-term outcomes are limited by impaired mucus clearance, increased risk of infection resulting from immunosuppression, and chronic lung allograft dysfunction. Organ preservation techniques play an important role in the quality of donated organs. Barotrauma to donated lungs may arise from a combination of excessive recruitment manoeuvres and altitude change during air transportation. The Paragonix BAROguard Donor Lung Preservation System is an FDA-approved advanced organ recovery system that maintains continuous airway pressure of 15 cm of water during transportation of the donated lung(s) to the recipient. The Paragonix LUNGguard monitors temperature during transportation of donor lung(s), while the new BAROguard monitors both temperature and pressure during transportation of donor lung(s). In this publication, we present technical aspects of advanced preservation of paediatric donor lungs using the Paragonix BAROguard Donor Lung Preservation System.

使用 Paragonix BAROguard 保存儿科供体肺。
儿科肺移植是挽救终末期肺病患者生命的一种选择。由于粘液清除能力受损、免疫抑制导致感染风险增加以及慢性肺异体移植功能障碍,长期良好的治疗效果受到限制。器官保存技术对捐赠器官的质量起着重要作用。在空运过程中,过度的招募动作和高度变化可能会对捐献的肺部造成气压创伤。Paragonix BAROguard 捐肺保存系统是经 FDA 批准的先进器官复苏系统,可在将捐肺运送给受体的过程中保持 15 厘米水压的持续气道压力。Paragonix LUNGguard 可在运送供体肺的过程中监测温度,而新型 BAROguard 可在运送供体肺的过程中监测温度和压力。在本刊物中,我们将介绍使用 Paragonix BAROguard 供肺保存系统对儿科供肺进行高级保存的技术方面。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
60
期刊介绍: The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.
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