Efficacy of recruitment maneuver for improving the brain dead marginal lungs to ideal

S. Parto, S. Shafaghi, H. R. Khoddami-Vishteh, S. Mohammad Makki, A. Abbasidezfuli, A. Daneshvar, K. Sheikhy, J. Faeghi, F. Ghorbani, T. Parsa, K. Najafizadeh

Research output: Contribution to journalArticle

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Abstract

Background Because of the shortage of lungs for transplantation, finding the suitable lungs in brain-dead donors is an important issue. Recruitment maneuver is a strategy aimed at re-expanding collapsed and edematous lung tissue. The aim of this study was to assess the efficacy of this maneuver on improving marginal lungs for transplantation. Methods From 127 brain-dead potential donor which were evaluated for lung donation in Masih Daneshvari Organ Procurement Unit of Tehran, Iran, 31 (25%) had marginal lungs for transplantation. These donors had normal chest X ray or bilateral infiltration and had PaO2 200-300 mm Hg with FIO2 100%. The recruitment maneuver was performed and arterial blood gas was obtained before and after maneuver. The maneuver lasts for 2 hours with continuous check of O2 saturation and patient's hemodynamic during. Finally, patients with normal bronchoscopy and PaO2/FIO2 >300 mm Hg were considered good candidates for lung transplantation. The frequency (%) and mean ± SD were used for description of variables and the Wilcoxon test was used for comparison between pre- and post-maneuver PaO2 with FIO2 100%. Results The mean ± SD of PaO2/FIO2 with 100% FIO2 of patients before and after recruitment were 239 ± 62 and 269 ± 91, respectively. Recruitment maneuver could convert 10 marginal lungs (32%) to appropriate ones (PaO2 > 300) and finally 8 lungs were transplanted. Conclusions Findings of this study showed that recruitment maneuver could convert inappropriate lungs to appropriate ones in one third of brain-dead patients who had marginal lung condition. So, it is recommended that this maneuver is considered in the assessment protocol of lungs for donation.

Original languageEnglish (US)
Pages (from-to)3531-3533
Number of pages3
JournalTransplantation Proceedings
Volume45
Issue number10
DOIs
StatePublished - Dec 1 2013
Externally publishedYes

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Brain Death
Lung
Lung Transplantation
Tissue Donors
Tissue and Organ Procurement
Bronchoscopy
Iran
Thorax
Gases
Hemodynamics
X-Rays

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Parto, S., Shafaghi, S., Khoddami-Vishteh, H. R., Makki, S. M., Abbasidezfuli, A., Daneshvar, A., ... Najafizadeh, K. (2013). Efficacy of recruitment maneuver for improving the brain dead marginal lungs to ideal. Transplantation Proceedings, 45(10), 3531-3533. https://doi.org/10.1016/j.transproceed.2013.09.001

Efficacy of recruitment maneuver for improving the brain dead marginal lungs to ideal. / Parto, S.; Shafaghi, S.; Khoddami-Vishteh, H. R.; Makki, S. Mohammad; Abbasidezfuli, A.; Daneshvar, A.; Sheikhy, K.; Faeghi, J.; Ghorbani, F.; Parsa, T.; Najafizadeh, K.

In: Transplantation Proceedings, Vol. 45, No. 10, 01.12.2013, p. 3531-3533.

Research output: Contribution to journalArticle

Parto, S, Shafaghi, S, Khoddami-Vishteh, HR, Makki, SM, Abbasidezfuli, A, Daneshvar, A, Sheikhy, K, Faeghi, J, Ghorbani, F, Parsa, T & Najafizadeh, K 2013, 'Efficacy of recruitment maneuver for improving the brain dead marginal lungs to ideal', Transplantation Proceedings, vol. 45, no. 10, pp. 3531-3533. https://doi.org/10.1016/j.transproceed.2013.09.001
Parto S, Shafaghi S, Khoddami-Vishteh HR, Makki SM, Abbasidezfuli A, Daneshvar A et al. Efficacy of recruitment maneuver for improving the brain dead marginal lungs to ideal. Transplantation Proceedings. 2013 Dec 1;45(10):3531-3533. https://doi.org/10.1016/j.transproceed.2013.09.001
Parto, S. ; Shafaghi, S. ; Khoddami-Vishteh, H. R. ; Makki, S. Mohammad ; Abbasidezfuli, A. ; Daneshvar, A. ; Sheikhy, K. ; Faeghi, J. ; Ghorbani, F. ; Parsa, T. ; Najafizadeh, K. / Efficacy of recruitment maneuver for improving the brain dead marginal lungs to ideal. In: Transplantation Proceedings. 2013 ; Vol. 45, No. 10. pp. 3531-3533.
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abstract = "Background Because of the shortage of lungs for transplantation, finding the suitable lungs in brain-dead donors is an important issue. Recruitment maneuver is a strategy aimed at re-expanding collapsed and edematous lung tissue. The aim of this study was to assess the efficacy of this maneuver on improving marginal lungs for transplantation. Methods From 127 brain-dead potential donor which were evaluated for lung donation in Masih Daneshvari Organ Procurement Unit of Tehran, Iran, 31 (25{\%}) had marginal lungs for transplantation. These donors had normal chest X ray or bilateral infiltration and had PaO2 200-300 mm Hg with FIO2 100{\%}. The recruitment maneuver was performed and arterial blood gas was obtained before and after maneuver. The maneuver lasts for 2 hours with continuous check of O2 saturation and patient's hemodynamic during. Finally, patients with normal bronchoscopy and PaO2/FIO2 >300 mm Hg were considered good candidates for lung transplantation. The frequency ({\%}) and mean ± SD were used for description of variables and the Wilcoxon test was used for comparison between pre- and post-maneuver PaO2 with FIO2 100{\%}. Results The mean ± SD of PaO2/FIO2 with 100{\%} FIO2 of patients before and after recruitment were 239 ± 62 and 269 ± 91, respectively. Recruitment maneuver could convert 10 marginal lungs (32{\%}) to appropriate ones (PaO2 > 300) and finally 8 lungs were transplanted. Conclusions Findings of this study showed that recruitment maneuver could convert inappropriate lungs to appropriate ones in one third of brain-dead patients who had marginal lung condition. So, it is recommended that this maneuver is considered in the assessment protocol of lungs for donation.",
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AU - Parto, S.

AU - Shafaghi, S.

AU - Khoddami-Vishteh, H. R.

AU - Makki, S. Mohammad

AU - Abbasidezfuli, A.

AU - Daneshvar, A.

AU - Sheikhy, K.

AU - Faeghi, J.

AU - Ghorbani, F.

AU - Parsa, T.

AU - Najafizadeh, K.

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N2 - Background Because of the shortage of lungs for transplantation, finding the suitable lungs in brain-dead donors is an important issue. Recruitment maneuver is a strategy aimed at re-expanding collapsed and edematous lung tissue. The aim of this study was to assess the efficacy of this maneuver on improving marginal lungs for transplantation. Methods From 127 brain-dead potential donor which were evaluated for lung donation in Masih Daneshvari Organ Procurement Unit of Tehran, Iran, 31 (25%) had marginal lungs for transplantation. These donors had normal chest X ray or bilateral infiltration and had PaO2 200-300 mm Hg with FIO2 100%. The recruitment maneuver was performed and arterial blood gas was obtained before and after maneuver. The maneuver lasts for 2 hours with continuous check of O2 saturation and patient's hemodynamic during. Finally, patients with normal bronchoscopy and PaO2/FIO2 >300 mm Hg were considered good candidates for lung transplantation. The frequency (%) and mean ± SD were used for description of variables and the Wilcoxon test was used for comparison between pre- and post-maneuver PaO2 with FIO2 100%. Results The mean ± SD of PaO2/FIO2 with 100% FIO2 of patients before and after recruitment were 239 ± 62 and 269 ± 91, respectively. Recruitment maneuver could convert 10 marginal lungs (32%) to appropriate ones (PaO2 > 300) and finally 8 lungs were transplanted. Conclusions Findings of this study showed that recruitment maneuver could convert inappropriate lungs to appropriate ones in one third of brain-dead patients who had marginal lung condition. So, it is recommended that this maneuver is considered in the assessment protocol of lungs for donation.

AB - Background Because of the shortage of lungs for transplantation, finding the suitable lungs in brain-dead donors is an important issue. Recruitment maneuver is a strategy aimed at re-expanding collapsed and edematous lung tissue. The aim of this study was to assess the efficacy of this maneuver on improving marginal lungs for transplantation. Methods From 127 brain-dead potential donor which were evaluated for lung donation in Masih Daneshvari Organ Procurement Unit of Tehran, Iran, 31 (25%) had marginal lungs for transplantation. These donors had normal chest X ray or bilateral infiltration and had PaO2 200-300 mm Hg with FIO2 100%. The recruitment maneuver was performed and arterial blood gas was obtained before and after maneuver. The maneuver lasts for 2 hours with continuous check of O2 saturation and patient's hemodynamic during. Finally, patients with normal bronchoscopy and PaO2/FIO2 >300 mm Hg were considered good candidates for lung transplantation. The frequency (%) and mean ± SD were used for description of variables and the Wilcoxon test was used for comparison between pre- and post-maneuver PaO2 with FIO2 100%. Results The mean ± SD of PaO2/FIO2 with 100% FIO2 of patients before and after recruitment were 239 ± 62 and 269 ± 91, respectively. Recruitment maneuver could convert 10 marginal lungs (32%) to appropriate ones (PaO2 > 300) and finally 8 lungs were transplanted. Conclusions Findings of this study showed that recruitment maneuver could convert inappropriate lungs to appropriate ones in one third of brain-dead patients who had marginal lung condition. So, it is recommended that this maneuver is considered in the assessment protocol of lungs for donation.

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