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Biomedical subjects

J F Malen

Publications and source records attributed to J F Malen.

2 recordsLinked to original sources

Lung transplantation.

Although the supply of donor organs remains extremely limited, improved methods of maintaining the lungs of potential donors to allow for transplantation are being developed along with improved techniques for lung preservation. Sufficient progress has been achieved to warrant continued application of lung transplantation for numerous types of end-stage pulmonary disease. As further refinements in lung transplantation techniques and postoperative management occur, there will be a greater need for advancing the knowledge and skills of nurses and other members of the interdisciplinary team. With improved resource management and quality outcomes, it is hoped that lung transplantation will be made available to a greater number of patients. All these continued advancements offer further challenges to improve patient care for lung transplant recipients.

Humans↗

Nursing perspectives on lung transplantation.

Lung transplantation has become a viable, although highly risky, option for select patients with end-stage lung disease. Lack of donor suitability is a major obstacle to its more widespread application. Many patients wait months and sometimes a year or more for an appropriate donor; some die waiting. Careful evaluation and selection of patients, rigorous pre- and post-transplant pulmonary rehabilitation, and intensive nursing and medical care significantly improve post-transplant recovery. Improved preoperative exercise tolerance and muscle strength prepare patients for the surgery and ensuing postoperative course. Likewise, the long-term post-transplant rehabilitation is essential to ultimate recovery and return to a normal healthy life. The gradual but dramatic long-term improvements in exercise performance during post-transplant training have been well documented.

Graft Rejection↗