Lung Volume Reduction Surgery: Difference between revisions
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== Description == | == Description == | ||
Lung Volume Reduction Surgery (LVRS) is a surgical procedure wherein lung tissue is resected from patients with COPD, particularly those with severe emphysema. the procedure is usually done through | Lung Volume Reduction Surgery (LVRS) is a surgical procedure wherein lung tissue is resected from patients with COPD, particularly those with severe emphysema. the procedure is usually done through 3 different techniques: (1) ''via open sternotomy,'' (2) ''via video-assisted thorascopic surgery'' or (3) ''via thoracotomy.'' | ||
A multi-center prospective randomized controlled trial, National Emphysema Treatment Trial (NETT), was done in 1999. The study aimed to compare medical management alone versus medical management with LVRS as treatment for severe emphysema. NETT involved 1, 218 randomized patients, one of the largest and most complete collection of patient demographic, clinical, physiological, and radiographic data ever compiled in severe emphysema. In addition, NETT emphasized the need to address nonpulmonary issues such as nutrition, cardiac disease, and anxiety and depression.<br> | A multi-center prospective randomized controlled trial, National Emphysema Treatment Trial (NETT), was done in 1999. The study aimed to compare medical management alone versus medical management with LVRS as treatment for severe emphysema. NETT involved 1, 218 randomized patients, one of the largest and most complete collection of patient demographic, clinical, physiological, and radiographic data ever compiled in severe emphysema. In addition, NETT emphasized the need to address nonpulmonary issues such as nutrition, cardiac disease, and anxiety and depression.<br> | ||
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== Indication == | == Indication == | ||
LVRS is usually indicated for | LVRS is usually indicated for patients: | ||
With severe emphysema | |||
Aged below 70 years old | |||
With no smoking history within the last 6 months | |||
Not able to exercise well after completing pulmonary rehabilitation | |||
<br> | |||
== Clinical Presentation == | == Clinical Presentation == | ||
Revision as of 13:01, 9 April 2020
Description[edit | edit source]
Lung Volume Reduction Surgery (LVRS) is a surgical procedure wherein lung tissue is resected from patients with COPD, particularly those with severe emphysema. the procedure is usually done through 3 different techniques: (1) via open sternotomy, (2) via video-assisted thorascopic surgery or (3) via thoracotomy.
A multi-center prospective randomized controlled trial, National Emphysema Treatment Trial (NETT), was done in 1999. The study aimed to compare medical management alone versus medical management with LVRS as treatment for severe emphysema. NETT involved 1, 218 randomized patients, one of the largest and most complete collection of patient demographic, clinical, physiological, and radiographic data ever compiled in severe emphysema. In addition, NETT emphasized the need to address nonpulmonary issues such as nutrition, cardiac disease, and anxiety and depression.
Indication[edit | edit source]
LVRS is usually indicated for patients:
With severe emphysema
Aged below 70 years old
With no smoking history within the last 6 months
Not able to exercise well after completing pulmonary rehabilitation
Clinical Presentation[edit | edit source]
Patients suffering from severe emphysema may present with:
Diagnostic Tests[edit | edit source]
add text here relating to diagnostic tests for the condition
Preoperative Rehabilitation Program[edit | edit source]
- Assessment to determine if patient is a candidate for surgical intervention
- Communication between interdisciplinary team members involved in patient care
- Formulation of appropriate preoperative management/ exercise training program
- Preoperative exercise training to reduce possible complications after surgery
- Educate the patient
- Possible risks/ complications and how to avoid them
- Postoperative pain management
- Mobilization after surgery
- Lung expansion techniques
- Energy conservation techniques
- Psychological Support
- Nutritional Support
Postoperative Rehabilitation Program[edit | edit source]
- Assessment of postoperative patient
- Formulation of appropriate postoperative management/ exercise training program
- Postoperative pain management
- Mobilization of postoperative patient
- Postoperative exercise training
- Psychological support
- Nutritional support
Resources[edit | edit source]
add appropriate resources here
