Preview

LVRS

Good Essays
Open Document
Open Document
459 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
LVRS
LVRS is a surgical procedure in which damaged lung tissues are removed caused by emphysema. Lvrs can be performed with two methods, one is called open sternum and other procedure is known as video assisted thoracic surgery. The national emphysema treatment trial is created to determine the role, safety and effectiveness of lung volume reduction surgery in the treatment of emphysema Indications include emphysema with destruction and hyperinflation, Marked impairment (FEv1 < 35% predicted), Marked restriction activities of daily living, and Failure of maximal medical treatment to correct symptoms. Lvrs has considered to be one of the most desirable procedure to relieve dyspnea in many COPD patients who are not eligible for other procedure. The procedure …show more content…
Nicholas Hopkinson, a clinical lecturer and hon consultant, from imperial’s national heart and lung institute mentioned in her research she mentioned that there are benefits of LVRS if the patient is selected based on correct indications.” In the study performed at Royal Brompton and Harefield NHS foundation trust, researchers showed that in a series of 81 patients who had undergone the LVRS showed no deaths and only six percent of the patient remained hospitalized for a month. It is important to consider the cost-effectiveness of LVRS. It is with no doubt that LVRS can improve quality of life but it is better to look over the cost it takes for the management of the disease process. In an ATS journal (cost-effectiveness of lung volume reduction surgery), there are also risks involved with LVRS, includes air leakage as one of the main concern with the chance of 40%, infection or pneumonia (15%), internal bleeding (2-5%), stroke (1%), heart attack (1%), and death with a chance of 3-8% in the cases if the patient is a poor candidate. The outcome of the LVRS is predicted on two characteristics, first if the emphysema is concentrated on upper lobes and exercise capacity (high or

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Patient is a 61-year-old white male admitted through the ER with on December 10 with recurrent right pneumothoraxes. Patient is known to have COPD with emphysema and has multiple admissions for problems concerning this. At the time of initial evaluation, a small caliber chest tube was inserted in the anterior axillary line, which improved the patient’s respiratory distress but did not completely resolve the pneumothorax. I was called to the ICU to place a second small caliber chest tube in the posterior axillary line below this. This further improved the patient’s pulmonary status with his saturation improving from 76& to 89%. Since admission he has felt better but complained of pain at the chest tube insertion site. He has continued to leak out through the pleur-evac under water seal, and beginning yesterday he developed subcutaneous emphysema, which has gotten progressively worse. Earlier today he began having increased respiratory difficulty again, with his saturation dropping to approximately 80 % despite oxygen per nasal cannula. Chest x-ray today showed a worsening of the right lower lobe loculated pneumothorax, and on examination today he is not only leaking air through the pleur-evac system but also around the two chest tubes.…

    • 553 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    • Describe possible diagnostic or surgical procedures associated with the respiratory system that are not mentioned in the Q&A section of this unit.…

    • 531 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Fv1 Task 4

    • 514 Words
    • 3 Pages

    Lung function tests and QOL survey would be repeated at week six and again at six and twelve months’ post enrollment…

    • 514 Words
    • 3 Pages
    Good Essays
  • Good Essays

    In the healthcare setting many clinicians are curious to know how airway pressure release ventilation (APRV) works. Many modes of ventilation have been developed throughout the years that focus on lung recruitment and allows for patients to breathe at a spontaneous rate. However, APRV is one of the many modes that concentrate on providing partial ventilatory assistance to patients with some form of respiratory failure. First, can APRV protect the lungs and reduce the work of breathing? Second, is APRV an effective mode of ventilation for patients that suffer from decreased lung compliance? These are just some of the questions physicians ask themselves when determining a method to ventilate their patients.…

    • 863 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Breathing can become difficult for a patient after surgery, when they have pneumonia, a lung disease like (COPD), or if they become on extensive bed rest. The patient may find that they can only take small, shallow breaths. Breathing this way makes it harder to get air into the patient lungs and can cause fluid and mucus to build up in the lungs. This could cause a serious lung infection like pneumonia. An incentive spirometer is a breathing exercise used to help a patient take deep breaths and keep lungs clear after surgery. Spirometer measures how much air a person can inhale and exhale as well as measures how fast they can exhale. Spirometer values below average may be a sign that a patient lungs are not functioning as well as they should be. Furthermore, a spirometer is a common office test used to diagnose asthma, chronic obstructive pulmonary disease (COPD) and certain other conditions that affect breathing. Deep breathing exercises will help open the air sacs in the patient lungs and may reduce the chance of developing breathing complication after surgery. It is important to teach the patient how uses the incentive spirometer after surgery and at home, so they too can be a part of monitoring their breathing patterns. It is also essential to let the patient know how a spirometer plays a significant role in a respiratory examination.…

    • 763 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Et Tubes vs Lma

    • 2261 Words
    • 10 Pages

    This study was done to answer the following question: Are licensed practitioner's beliefs about airways (oral ET-tube and LMA) consistent with the current printed information and do they report using the airways in a similar manner? To answer this question, we first needed to know what practices the current published studies have suggested will have better out-comes and less side affects. We also needed to find out; are practitioners aware of the evidence-based practices that are currently published and have they had any continuing education about airway management? Does the location where the practitioner performs airway management impact their practices? Are their decisions based on departmental policy or do they decide on their own which device to use? Does the medical specialty in which they practice or the number of years in their field impact their practices or predetermine their knowledge of the devices.…

    • 2261 Words
    • 10 Pages
    Powerful Essays
  • Satisfactory Essays

    Activity 7

    • 875 Words
    • 4 Pages

    tests such as forced expiratory volume (FEV1) can help a clinician determine the difference between obstructive and…

    • 875 Words
    • 4 Pages
    Satisfactory Essays
  • Powerful Essays

    spirometry portfolio

    • 7682 Words
    • 59 Pages

    The author co-ordinates the pulmonary rehabilitation service for patients with various respiratory conditions. Pulmonary rehabilitation aims to increase the patients functional capacity, increase their general fitness and help them to gain a better uderstanding of their respiratory condition through an education component to the PR programme.…

    • 7682 Words
    • 59 Pages
    Powerful Essays
  • Powerful Essays

    Pathophysiology of COPD

    • 3701 Words
    • 13 Pages

    British Lung Foundation (2005). COPD. Retrieved March 14, 2006, from http://www.lunguk.org/copd.aspBritish Thoracic Society (1997). BTS guidelines for the management of chronic obstructive pulmonary disease. Thorax, 52(5).…

    • 3701 Words
    • 13 Pages
    Powerful Essays
  • Good Essays

    Emphysema Essay

    • 642 Words
    • 3 Pages

    Right-sided heart failure, or cor pulmonale, is likely to develop in emphysema patients. This is caused by the extra strain on the right ventricle from trying to pump blood into lungs that have high pressures, or pulmonary hypertension (“COPD and heart failure: Symptoms, causes, treatment, and more,” 2005). Respiratory failure is another lethal complication. The patient experiences hypoventilation and a ventilation-perfusion mismatch because of the dyspnea. When experiencing hypoventilation, a patient’s arterial blood gasses should be taken to assess for respiratory acidosis. However, unless the emphysema is very advanced, the ABG’s are likely to be within normal range. These complications are most likely to occur if the patient does not stop smoking, they are exposed to air pollution, get an infection, have a PE, or even have an…

    • 642 Words
    • 3 Pages
    Good Essays
  • Better Essays

    During the course of a lifetime, the average person will take some 600 million breaths. Most people can keep their lungs healthy by simply avoiding tobacco smoke, other noxious fumes and maintaining a good diet. Even when emphysema causes damage, early diagnosis and treatment can slow the process, ward off complications and improve quality of life. New therapies are on the way, but simple prevention is the best treatment of all. After all, what is more important than preserving the breath of life? (Chronic Obstructive Pulmonary Disease: It Takes Your Breath way 1-4).…

    • 2029 Words
    • 9 Pages
    Better Essays
  • Good Essays

    There are two different types of emphysema. Primary emphysema is due to an inherited deficiency in the alpha 1 antitrypsin enzyme. The second cause of emphysema is due respiratory exposure to cigarette smoke, air pollution, occupational exposures, and respiratory infections. Emphysema occurs when there is destruction of the alveoli. Instead of many small alveoli, the inner walls of the air sac weaken and rupture causing a large air space instead of many small one (a blebs). The loss of alveolar cells and loss of normal elastic recoil causes a reduction in the surface area of gas exchanges resulting in significant ventilation-perfusion mismatch and hypoxemia (Huether & McCance, 2012, p. 694). Due to the lost of elastic recoil, the volume of air that can be expired passively is reduce and air trapping in the lungs are increased. This results in an increase work of breathing, and eventually hypoventilation and hypercapnia late in the course of the disease (Huether & McCance, 2012, p. 694). Clinical manifestations of emphysema include: dyspnea, wheezing, barrel chest, and prolonged expiration. Late in the course of emphysema sign could include: productive cough, chronic hypoventilation, polycythemia, and cor pulmonale (Huether & McCance, 2012, p. 693). Management of emphysema depend on the severity but should always begin with smoking cessation. Other treatment includes inhaled anticholinergic agents, beta agonist, short course of oral steroids, pulmonary rehabilitation, improved nutrition, and breathing techniques (Huether & McCance, 2012, p.…

    • 618 Words
    • 3 Pages
    Good Essays
  • Good Essays

    The damage to the lungs from emphysema is permanent. A variety of medications are given to treat swelling of lung tissues and possible infections. There are a few surgery options to take out damaged tissue, depending on the stage of the sickness.…

    • 273 Words
    • 2 Pages
    Good Essays
  • Good Essays

    During the postoperative period, patients remain at a high risk of pulmonary edema, and right side heart failure (Hines & Marschall, 2013). Increased heart rate and pulmonary vascular resistance due to pain and hypoventilation, and should adequately treat (Hines & Marschall, 2013). After thoracic or abdominal surgery, the patient must continued on mechanical ventilation (Hines & Marschall, 2013). Anticoagulation should resume as quickly as possible (Hines & Marschall, 2013). The patient monitoring should continue for the postoperative period with the same vigilance (Hines & Marschall, 2013).…

    • 549 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Acute care essay

    • 2487 Words
    • 7 Pages

    Furthermore, failure to follow a systematic assessment in the treatment of an acutely ill patient is also another contributing factor (Resuscitation Council UK 2006). There is however, the risk of this kind of approach being subjective as each individual may observe, feel or hear symptoms differently. Due to the word constraint, this assignment will concentrate on the breathing assessment aspect of Dominic’s condition and also the pathophysiology of COPD and the use of oxygen (O2) as treatment to alleviate his symptoms.…

    • 2487 Words
    • 7 Pages
    Powerful Essays