Rehabilitation experience of lung transplant patients with tracheostomy_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ZHOU Haiqin , HUANG Keyao , ZHANG Shiting , SHI Zihao , YUAN Peng , WU Bo ,  CHEN Jingyu

Wuxi People's Hospital Affiliated to Nanjing Medical University, Wuxi Lung Transplant Center, Jiangsu Lung Transplant Center, Wuxi, Jiangsu 214000, P. R. China;

Corresponding author：

CHEN Jingyu, Email: chenjy@wuxiph.com

Keywords：

Lung transplantation; tracheostomy; rehabilitation; nursing

DOI：

10.7507/1671-6205.202203063

Video：

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The rehabilitation experience of 20 patients with tracheostomy after lung transplantation was reported, and the key points of rehabilitation nursing included sequential oxygen therapy, airway clearance, diaphragm pacing, respiratory training, swallowing training, speech training, exercise training, and gastrointestinal function rehabilitation. Tracheostomy is conducive to airway management and offline extubation in patients assisted by long-term breathing, and promotes patient recovery and discharge through multidisciplinary collaborative rehabilitation nursing integrated case management.

Citation： ZHOU Haiqin, HUANG Keyao, ZHANG Shiting, SHI Zihao, YUAN Peng, WU Bo, CHEN Jingyu. Rehabilitation experience of lung transplant patients with tracheostomy. Chinese Journal of Respiratory and Critical Care Medicine, 2022, 21(8): 561-564. doi: 10.7507/1671-6205.202203063 Copy

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2.	Feltracco P, Milevoj M, Alberti V, et al. Early tracheostomy following lung transplantation. Transplant Proc, 2011, 43(4): 1151-1155.
3.	Miyoshi R, Chen-Yoshikawa TF, Hamaji M, et al. Effect of early tracheostomy on clinical outcomes in critically ill lung transplant recipients. Gen Thorac Cardiovasc Surg, 2018, 66(9): 529-536.
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11.	郑立, 陈彩明, 苏慧, 等. 说话瓣膜在气管切开患者中的临床应用及研究进展. 中国呼吸与危重监护杂志, 2020, 19(4): 422-424.
12.	马明, 胡正永, 杨玺, 等. 佩戴说话瓣膜对重症患者气管切开套管拔管的影响. 中国康复医学杂志, 2021, 36(1): 69-73.
13.	American College of Sports Medicine. Guidelines for Exercise Testing and Prescription 9th Ed. Philadelphia: Williams and Wilkens, 2013.
14.	Fontes D, Generoso Sde V, Toulson Davisson Correia MI. Subjective global assessment: a reliable nutritional assessment tool to predict outcomes in critically ill patients. Clin Nutr, 2014, 33(2): 291-295.
15.	袁岚, 郭君, 唐炜, 等. 经皮穴位电刺激对腹腔镜肠道手术围术期胃肠道功能的影响. 临床麻醉学杂志, 2017, 33(6): 567-569.
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1. Santos PM, Afrassiabi A, Weymuller EA. Risk factors associated with prolonged intubation and laryngeal injury. Otolaryngol Head Neck Surg, 1994, 111(4): 453-459.
2. Feltracco P, Milevoj M, Alberti V, et al. Early tracheostomy following lung transplantation. Transplant Proc, 2011, 43(4): 1151-1155.
3. Miyoshi R, Chen-Yoshikawa TF, Hamaji M, et al. Effect of early tracheostomy on clinical outcomes in critically ill lung transplant recipients. Gen Thorac Cardiovasc Surg, 2018, 66(9): 529-536.
4. 中国康复医学会重症康复专业委员会呼吸重症康复学组, 中国老年保健医学研究会老龄健康服务与标准化分会, 中国老年保健医学杂志编辑委员会, 等. 中国呼吸重症康复治疗技术专家共识. 中国老年保健医学, 2018, 16(5): 3-11.
5. 范立, 吴波, 史灵芝, 等. 肺移植受者围术期的呼吸管理. 实用器官移植电子杂志, 2019, 7(6): 461-463.
6. 中国病理生理危重病学会呼吸治疗学组. 重症患者气道廓清技术专家共识. 中华重症医学电子杂志(网络版), 2020, 6(3): 272-282.
7. 李磊, 李静, 喻鹏铭, 等. 体外膈肌起搏对ICU获得性衰弱患者膈肌功能障碍有效性的研究分析. 中国康复, 2019, 34(6): 299-302.
8. 中国老年医学学会呼吸病学分会慢性阻塞性肺疾病学组. 中国老年慢性阻塞性肺疾病临床诊治实践指南. 中华结核和呼吸杂志, 2020, 43(2): 100-119.
9. 中医康复临床实践指南·心肺康复制定工作组, 刘西花, 李晓旭, 等. 中医康复临床实践指南·心肺康复. 康复学报, 2020, 30(4): 259-265,269.
10. 倪莹莹, 王首红, 宋为群, 等. 神经重症康复中国专家共识(上). 中国康复医学杂志, 2018, 33(1): 7-14.
11. 郑立, 陈彩明, 苏慧, 等. 说话瓣膜在气管切开患者中的临床应用及研究进展. 中国呼吸与危重监护杂志, 2020, 19(4): 422-424.
12. 马明, 胡正永, 杨玺, 等. 佩戴说话瓣膜对重症患者气管切开套管拔管的影响. 中国康复医学杂志, 2021, 36(1): 69-73.
13. American College of Sports Medicine. Guidelines for Exercise Testing and Prescription 9th Ed. Philadelphia: Williams and Wilkens, 2013.
14. Fontes D, Generoso Sde V, Toulson Davisson Correia MI. Subjective global assessment: a reliable nutritional assessment tool to predict outcomes in critically ill patients. Clin Nutr, 2014, 33(2): 291-295.
15. 袁岚, 郭君, 唐炜, 等. 经皮穴位电刺激对腹腔镜肠道手术围术期胃肠道功能的影响. 临床麻醉学杂志, 2017, 33(6): 567-569.
16. 苏秋菊, 苏旻. 电针治疗肺移植术后胃瘫综合征5例. 河南中医, 2017, 37(3): 533-535.

Chinese Journal of Respiratory and Critical Care Medicine

Rehabilitation experience of lung transplant patients with tracheostomy

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