Adult bronchiolitis surgery: Difference between revisions

	Adult bronchiolitis Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Occupational lung disease from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
CT
MRI
Echocardiography or Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Adult bronchiolitis surgery On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Adult bronchiolitis surgery All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Adult bronchiolitis surgery
CDC on Adult bronchiolitis surgery
Adult bronchiolitis surgery in the news
Blogs on Adult bronchiolitis surgery
;
Risk calculators and risk factors for Adult bronchiolitis surgery

← Older edit Newer edit →

VisualWikitext

Revision as of 17:25, 3 March 2018

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

References

@@ Line 4: / Line 4: @@
 ==Overview==
-Surgical intervention is not recommended for the management of [disease name].
+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.
-OR
-Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
-OR
-The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
-OR
-The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
-OR
-Surgery is the mainstay of treatment for [disease or malignancy].
 ==Indications==
-*Surgical intervention is not recommended for the management of [disease name].
+*Lung transplant is not the first-line treatment option for patients with adult bronchiolitis. Surgery is usually reserved for patients with either:
-OR
+**Clinically severe disease where medical therapy is ineffective The risk of death from lung disease without transplantation is >50 percent within two years
-*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
+**The likelihood of surviving at least 90 days after lung transplantation is  more than 80%
-**[Indication 1]
+**Absence of a non-respiratory comorbidity that would limit life expectancy in the first 5 years after transplant●
-**[Indication 2]
+**Acceptable social profile and support system
-**[Indication 3]
-*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
-**[Indication 1]
-**[Indication 2]
-**[Indication 3]
-==Surgery==
-*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
-OR
-*Surgery is the mainstay of treatment for [disease or malignancy].
 ==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==