Doctor insights on:
Do Lung Transplant Getting Operated While Intubated Or Extubated
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
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
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
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 moreSee 1 more doctor answer
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 moreSee 4 more doctor answers
Dentist said i can't be sick w/i 2wks of surgery. Does that include colds? Having IV conscious session.
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
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 moreSee 1 more doctor answer
Going for vats tomorrow. Severely malnourished. Diaphragm suddenly not working right. No deep breathing as of yesterday. Who should I tell?
I have been diagnosed with Interstitial lung disease and post inflamatory pulmonary fibrosis. o2s are 94-98% when awake and 88-89% when sleeping. should I be using oxygen when sleeping? prognosis?
Feeling like i don't have enough air to breathe even though oxygen level is 100.. 2 months after mitral valve repair heart surgery.
My sister had pleural empyema in a collapsed lung. The doctor avoided thoracotomy as being underweight, she might not cope with the anesthesia. What should I do?
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
If a person needs a double lung transplant, are both lungs replaced during one surgery or in 2 separate surgeries?
Do people with lung damage from asthma/repeated bronchitis ever need lung transplants? If so, are they cured of asthma? How bad can lung damage get?
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
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
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