%0 Journal Article
%T Pulmonary rehabilitation after lung transplantation with severe complications: A case report
%A Bing Sun
%A Guo-Qiang Jing
%A Haichao Li
%A Huiwen Chu
%A Jie Li
%A Xiao Tang
%A Xue Wang
%J Archive of "Canadian Journal of Respiratory Therapy: CJRT = Revue Canadienne de la Th¨Śrapie Respiratoire : RCTR".
%D 2017
%X This case study describes a 59-year-old male with a body mass index of 14.4 kg/m2 and a diagnosis of interstitial lung disease, pneumoconiosis, and severe pulmonary hypertension who received a bilateral lung transplant in a hospital in mainland China. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was initiated before the lung transplant; in addition, an emergency thoracotomy was performed three hours afterwards due to uncontrolled bleeding. VA-ECMO was weaned 34 hours later, but weaning from the ventilator failed multiple times due to bilateral pneumothorax, weak neuromuscular drive, and muscle strength. A full, personalized rehabilitation program was initiated with the help of a respiratory therapy team and the physician, drawing on the American Thoracic Society/European Respiratory Society Statement on Pulmonary Rehabilitation. This included nutrition support, draining air from the chest pleural cavity, aggressive bronchial-hygiene therapy, a weaning plan, breathing and physical exercises, and psychological support. Eighty-one days after the tracheotomy, the patient was successfully weaned, decannulated, and discharged. A careful, ongoing evaluation and a personalized program assisted with weaning this difficult patient
%K lung transplantation
%K weaning failure
%K severe malnutrition
%K rehabilitation
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422215/