Lung Volume Reduction Surgery
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 2 processes: (1) via open sternotomy or, (2) via video-assisted thorascopic surgery.
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 COPD patients particularly those with severe emphysema.
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
