Adult bronchiolitis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Lung transplant is not the first-line treatment option for patients with adult bronchiolitis. Surgery is usually reserved for patients with untreatable and advanced stage lung disease. | |||
==Indications== | ==Indications== | ||
* | *Lung transplant is not the first-line treatment option for patients with adult bronchiolitis. Surgery is usually reserved for patients with either: | ||
**Clinically severe disease where medical therapy is ineffective The risk of death from lung disease without transplantation is >50 percent within two years | |||
**The likelihood of surviving at least 90 days after lung transplantation is more than 80% | |||
** | **Absence of a non-respiratory comorbidity that would limit life expectancy in the first 5 years after transplant● | ||
**Acceptable social profile and support system | |||
** | |||
** | |||
* | |||
==Contraindications== | ==Contraindications== | ||
*Absolute contraindications include the following: | |||
**Uncontrolled or untreatable pulmonary or extrapulmonary infection | |||
**Active TB infection | |||
**Malignancy within previous 2 years | |||
**Significant comorbidity of other vital organs | |||
**Significant coronary heart disease not treated by revascularization | |||
**Untreatable bleeding diathesis | |||
**Significant chest wall or spinal deformity expected to cause severe restriction after transplantation | |||
**Grade II or III obesity with body mass index (BMI) ≥35 kg/m2 | |||
**Smoker | |||
**Drug or alcohol dependency | |||
**Unresolved psychosocial problems or noncompliance with medications | |||
*Relative contraindications include the following: | |||
**Age >65 years in association with low physiologic reserve or other relative contraindications | |||
**Grade I obesity with body mass index (BMI )30 to 34.9 kg/m2 | |||
**Severe or progressive malnutrition | |||
**Severe with clinical manifestations of osteoporosis | |||
**Previous cardiothoracic surgery | |||
**Colonization or infection with highly resistant or highly virulent agents | |||
**HIV positive patient | |||
**Active hepatitis B or C infection | |||
**Absence of a consistent social support system | |||
==References== | ==References== | ||
Revision as of 17:25, 3 March 2018
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Adult bronchiolitis Microchapters |
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Differentiating Occupational lung disease from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Adult bronchiolitis surgery On the Web |
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American Roentgen Ray Society Images of Adult bronchiolitis surgery |
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Risk calculators and risk factors for Adult bronchiolitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]
Overview
Lung transplant is not the first-line treatment option for patients with adult bronchiolitis. Surgery is usually reserved for patients with untreatable and advanced stage lung disease.
Indications
- Lung transplant is not the first-line treatment option for patients with adult bronchiolitis. Surgery is usually reserved for patients with either:
- Clinically severe disease where medical therapy is ineffective The risk of death from lung disease without transplantation is >50 percent within two years
- The likelihood of surviving at least 90 days after lung transplantation is more than 80%
- Absence of a non-respiratory comorbidity that would limit life expectancy in the first 5 years after transplant●
- Acceptable social profile and support system
Contraindications
- Absolute contraindications include the following:
- Uncontrolled or untreatable pulmonary or extrapulmonary infection
- Active TB infection
- Malignancy within previous 2 years
- Significant comorbidity of other vital organs
- Significant coronary heart disease not treated by revascularization
- Untreatable bleeding diathesis
- Significant chest wall or spinal deformity expected to cause severe restriction after transplantation
- Grade II or III obesity with body mass index (BMI) ≥35 kg/m2
- Smoker
- Drug or alcohol dependency
- Unresolved psychosocial problems or noncompliance with medications
- Relative contraindications include the following:
- Age >65 years in association with low physiologic reserve or other relative contraindications
- Grade I obesity with body mass index (BMI )30 to 34.9 kg/m2
- Severe or progressive malnutrition
- Severe with clinical manifestations of osteoporosis
- Previous cardiothoracic surgery
- Colonization or infection with highly resistant or highly virulent agents
- HIV positive patient
- Active hepatitis B or C infection
- Absence of a consistent social support system