Abstract
Intensive care after lung, and heart-lung transplantation may have simple post operative course specially after preventive procedures of reperfusion injury, nosocomial infections during mechanical ventilation and immunosuppression risks. Nevertheless a severe mediastinal shift may occurred after single lung transplantation in emphysema. Rapid changes in ventilation/perfusion ratio during lung infection or rejection specially in pulmonary hypertension are responsible of dramatic respiratory failure. Knowledge of multiorgan dysfunction and multidisciplinary experience encourage to future development.
MeSH terms
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Critical Care*
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Cross Infection / prevention & control
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Graft Rejection / physiopathology
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Graft Rejection / prevention & control
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Heart-Lung Transplantation* / adverse effects
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Heart-Lung Transplantation* / physiology
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Humans
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Hypertension, Pulmonary / physiopathology
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Hypertension, Pulmonary / prevention & control
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Immunosuppression Therapy / adverse effects
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Lung Transplantation* / adverse effects
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Lung Transplantation* / physiology
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Multiple Organ Failure / physiopathology
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Multiple Organ Failure / prevention & control
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Pulmonary Emphysema / surgery
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Reperfusion Injury / prevention & control
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Respiration, Artificial / adverse effects
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Respiratory Insufficiency / physiopathology
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Respiratory Insufficiency / prevention & control
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Ventilation-Perfusion Ratio