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Doctor insights on: Do Lung Transplant Getting Operated While Intubated Or Extubated

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Do pts on long term mechanical ventilation (at a vent home) have to be sedated during ventilation hrs? If not, why sedated in hospital setting?

Do pts on long term mechanical ventilation (at a vent home) have to be sedated during ventilation hrs? If not, why sedated in hospital setting?

Depends on Pt., etc.: Sedation for the ventilated patient is dependent upon the patient (level of cognitive/ physical function and level of anxiety), the pt's comorbidities/active medical problems, and vent mode regardless of the setting. No two patients and their hospital courses are alike. Therefore, sedation and comfort plans should be pt.-specific with frequent assessment for appropriate modification if needed. ...Read more

Dr. Patricia Foster
3 doctors shared insights

Transplant (Definition)

In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more


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I ve lung consolidation, nodule &bronchiectasis dr.Wants to do keyhole surgery from 3angle, any idea of the recovery time if no complications afterward?

I ve lung consolidation, nodule &bronchiectasis dr.Wants to do keyhole surgery from 3angle, any idea of the recovery time if no complications afterward?

Is a relatively : Low risk procedure , in uncomplicated cases should recover in few days , you must speak to your surgeon the possible complications in your case. ...Read more

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84 year old being weaned off a non invasive ventilator with suspected COPD. What will happen next if lungs don't cope?

84 year old being weaned off a non invasive ventilator with suspected COPD. What will happen next if lungs don't cope?

CPAP/BiPAP: Some patients benefit from nocturnal support with CPAP or BiPAP chronically.The patient should be evaluated for sleep apnea and arterial blood gasses should be analyzed. A persistently high pCO2 or acidosis may impair weaning. Look for complications like infection, concomitant congestive heart failure which may be contributing ...Read more

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Can I have a endotracheal tube inserted while completely awake for nose job to protect airway if i want? Getting nose job done under local anesthesia

Can I have a endotracheal tube inserted while completely awake for nose job to protect airway if i want? Getting nose job done under local anesthesia

Endotracheal tube: Endotracheal tube cannot be inserted when you're fully awake because you would not be able to tolerate anything down your airways without coughing and laryngospasm (spasm of your voicebox). Only when the muscles are paralyzed by anesthetic or when you are out of it due to a respiratory distress you can have endotracheal tube placed. ...Read more

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Dentist said i can't be sick w/i 2wks of surgery. Does that include colds? Having IV conscious session.

Dentist said i can't be sick w/i 2wks of surgery.  Does that include colds? Having IV conscious session.

No cold or cough: Before conscious sedation or general anesthesia any upper or lower respiratory infection increases the risk of post operative chest complications. ...Read more

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Family member had surgery 3 weeks ago, he is off vent tube but has trach hooked up to vent. He will not breathe on own. Can rehab get him to breathe?

Family member had surgery 3 weeks ago, he is off vent tube but has trach hooked up to vent. He will not breathe on own. Can rehab get him to breathe?

Should be the goal: Tracheostomies are used for patients who are expected to be on the ventilator for a prolonged time frame. They are much more comfortable than the endotracheal tubes in the mouth/throat. Breathing independently requires strong respiratory muscles - these require nutrition and exercise, just like all muscles in the body. The rehab team and the respiratory team should work together for that goal. ...Read more

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For outpatient surgery, are you hooked up to a ventilator if you are receiving general anesthesia ?

For outpatient surgery, are you hooked up to a ventilator if you are receiving general anesthesia ?

Yes: When you get a general anesthetic, you are given drugs through the IV that make you unconscious. A breathing tube is then inserted and you are placed on a ventilator that administers the anesthetic gas. This gas keeps you asleep for as long as it takes to do the surgery. When the surgery is over the gas is turned off, the tube is removed and you wake up. That's what general anesthesia is. ...Read more

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Will having lung transplant surgery effect your singing voice?

Will having lung transplant surgery effect your singing voice?

Maybe: The surgery itself may damage your vocal cords through manipulation for the intubation and subsequent intensive care; also the new lung may have a different capacity for the volume of singing, once you recover. Good luck! ...Read more

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Feeling like i don't have enough air to breathe even though oxygen level is 100.. 2 months after mitral valve repair heart surgery.

Feeling like i don't have enough air to breathe even though oxygen level is 100.. 2 months after mitral valve repair heart surgery.

See a doctor: Many things could lead to the sensation of not getting enough air. In addition to history and physical, your doctor might use an imaging test to look at your lungs, or tests to evaluate your heart and valves, like an echocardiogram. ...Read more

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Do all patients in a mechanical ventilator need to have tracheotomy procedure done?

Do all patients in a mechanical ventilator need to have tracheotomy procedure done?

Trach with vent: Patients who have issues with their anatomy that would prevent effective ventilation with an endotracheal tube or those who may need ventilation for long periods of time are candidates for tracheostomy. ...Read more

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What time do you have left with pancreatic cancer existing after whipple surgery? Stage 3. Ct scans are clear but patient won't/can't? Leave bed.

What time do you have left with pancreatic cancer existing after whipple surgery?  Stage 3. Ct scans are clear but patient won't/can't?  Leave bed.

PancreaticCA&whipple: If patient had a whipped they have had the best, most aggressive treatment. May need to add radiation and chemo, but a whipped is a hugh surgery. It can be very difficult to recover from...Taking months. Encourage the person to get up and eat and get moving. Do they really want to spend whatever time they have left in bed? Talk to ur md about depression and how you can help this person. ...Read more

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Had primary pneumothorax 2 weeks ago, they did VATS and removed bullae. Can pneumothorax reappear again? Also, is lung capacitty now smaller? Thanks

Had primary pneumothorax 2 weeks ago, they did VATS and removed bullae. Can pneumothorax reappear again? Also, is lung capacitty now smaller? Thanks

1) Yes 2) Maybe not: Without a complete history, I am only speculating, but -- 1) If you have other bullae now or new ones develop in the future, you do have a risk of recurrence. 2) Bullae are often not functional and take up space in the chest that could be used by functional lung - by removing them you can actually increase lung function. ...Read more

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I was wondering if a patient can be administered oxygen during surgery or wear oxygen ?

I was wondering if a patient can be administered oxygen during surgery or wear oxygen ?

Definitely yes: This is not a problem and almost always the case. Talk to your anesthesia provider before the surgery during preop visit and it will all be explained! Be well. ...Read more

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How to deal with fluid in the lungs due to being intubated from general anesthesia? Lungs are raspy (weren't before I went under)

How to deal with fluid in the lungs due to being intubated from general anesthesia? Lungs are raspy (weren't before I went under)

Fluid in lungs ?: Fluid in the lungs happened immediately after general anesthesia usually indicates aspiration or pulmonary edema. But I suspect you did not have these conditions. Raspy breathing maybe the result of intubation and it will resolved. If you condition persisted maybe it is worthwhile to check with your doc ...Read more

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Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


Dr. Fernando Torres
820 doctors shared insights

Lung Transplantation (Definition)

Removing the entire lung (or both) from a deceased individual, taking out the diseased lungs of another, and replacing them with the transplanted lung (s). In rare cases a small piece of a lung has been used from a living person to transplant to another such as a ...Read more