https://doi.org/10.4081/monaldi.2024.2898
Respiratory and physical therapy in the intensive care unit after liver transplantation for acute-on-chronic liver failure: a case report
Submitted: January 2, 2024
Accepted: July 20, 2024
Published: September 10, 2024
Accepted: July 20, 2024
Abstract Views: 474
PDF_EARLY VIEW: 111
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Acute-on-chronic liver failure (ACLF) is a severe clinical condition for which liver transplantation (LT) is the only curative option. Due to the recipients' generally poor pre-operative clinical conditions and extensive surgery, post-LT respiratory disorders are very common and significantly contribute to related morbidity and mortality. We report the case of a 49-year-old patient with ACLF grade 3 who has been taken care of by the Respiratory Physiotherapy Team since hospital admission. After the extubation, the patient was supported with non-invasive ventilation and mechanical in-exsufflation; meanwhile, early resistance and functional training were started. No adverse events occurred during physiotherapy sessions, and the patient returned home without respiratory support. Respiratory and physical therapy in the intensive care unit after LT were safe and feasible interventions for this patient. Given the high incidence of postoperative pulmonary complications and the high rehabilitation needs, we suggest that physiotherapy should be provided for ACLF recipients.
Perricone G, Artzner T, De Martin E, et al. Intensive care management of acute-on-chronic liver failure. Int Care Med 2023;49:903-21.
DOI: https://doi.org/10.1007/s00134-023-07149-x
Mezzano G, Juanola A, Cardenas A, et al. Global burden of disease: acute-on-chronic liver failure, a systematic review and meta-analysis. Gut 2022;71:148-55.
DOI: https://doi.org/10.1136/gutjnl-2020-322161
Belli LS, Duvoux C, Artzner T, et al. Liver transplantation for patients with acute-on-chronic liver failure (ACLF) in Europe: results of the ELITA/EF-CLIF collaborative study (ECLIS). J Hepatol 2021;75:610-22.
DOI: https://doi.org/10.1016/j.jhep.2021.03.030
Feltracco P, Carollo C, Barbieri S, et al. Early respiratory complications after liver transplantation. World J Gastroenterol 2013;19:9271-81.
DOI: https://doi.org/10.3748/wjg.v19.i48.9271
Laici C, Guizzardi C, Morelli MC, et al. Predictive factors of inhospital mortality for ICU patients with acute-on-chronic liver failure undergoing liver transplantation. Eur J Gastroenterol Hepatol 2022;34:967-74.
DOI: https://doi.org/10.1097/MEG.0000000000002413
Chen GH, Wu RL, Huang F, et al. Liver transplantation in acute-on-chronic liver failure: excellent outcome and difficult posttransplant course. Front Surg 2022;9:914611.
DOI: https://doi.org/10.3389/fsurg.2022.914611
Sundaram V, Lindenmeyer CC, Shetty K, et al. Patients with acute-on-chronic liver failure have greater healthcare resource utilization after liver transplantation. Clin Gastroenterol Hepatol 2023;21:704-12.e3.
DOI: https://doi.org/10.1016/j.cgh.2022.03.014
Riley DS, Barber MS, Kienle GS, et al. CARE guidelines for case reports: explanation and elaboration document. J Clin Epidemiol 2017;89:218-35.
DOI: https://doi.org/10.1016/j.jclinepi.2017.04.026
Volpe MS, Guimarães FS, Morais CC. Airway clearance techniques for mechanically ventilated patients: insights for optimization. Respir Care 2020;65:1174-88.
DOI: https://doi.org/10.4187/respcare.07904
Hickmann CE, Montecinos-Munoz NR, Castanares-Zapatero D, et al. acute effects of sitting out of bed and exercise on lung aeration and oxygenation in critically ill subjects. Respir Care 2021;66:253-62.
DOI: https://doi.org/10.4187/respcare.07487
Zhang L, Hu W, Cai Z, et al. Early mobilization of critically ill patients in the intensive care unit: A systematic review and meta-analysis. PLoS One 2019;14:e0223185.
DOI: https://doi.org/10.1371/journal.pone.0223185
Brustia R, Monsel A, Skurzak S, et al. Guidelines for perioperative care for liver transplantation: enhanced recovery after surgery (eras) recommendations. Transplantation 2022;106:552-61.
DOI: https://doi.org/10.1097/TP.0000000000003808
Cork G, Camporota L, Osman L, Shannon H. Physiotherapist prediction of extubation outcome in the adult intensive care unit. Physiother Res Int 2019;24:e1793.
DOI: https://doi.org/10.1002/pri.1793
Thille AW, Boissier F, Muller M, et al. Role of ICU-acquired weakness on extubation outcome among patients at high risk of reintubation. Crit Care 2020;24:86.
DOI: https://doi.org/10.1186/s13054-020-2807-9
Rochwerg B, Brochard L, Elliott MW, et al. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. Eur Respir J 2017;50:1602426.
DOI: https://doi.org/10.1183/13993003.02426-2016
Oczkowski S, Ergan B, Bos L, et al. ERS clinical practice guidelines: high-flow nasal cannula in acute respiratory failure. Eur Respir J 2022;59:2101574.
DOI: https://doi.org/10.1183/13993003.01574-2021
Bach JR, Gonçalves MR, Hamdani I, Winck JC. Extubation of patients with neuromuscular weakness: a new management paradigm. Chest 2010;137:1033-9.
DOI: https://doi.org/10.1378/chest.09-2144
Chatwin M, Toussaint M, Gonçalves MR, et al. Airway clearance techniques in neuromuscular disorders: a state of the art review. Respir Med 2018;136:98-110.
DOI: https://doi.org/10.1016/j.rmed.2018.01.012
Christensen M, Trapl M. Development of a modified swallowing screening tool to manage post-extubation dysphagia. Nurs Crit Care 2018;23:102-7.
DOI: https://doi.org/10.1111/nicc.12333
How to Cite
Tarello, Davide, Francesca Giogà, Andrea Lauterio, Chiara Becchetti, Giovanni Perricone, Giorgio Santi, Monica Ragazzi, Gianpaola Monti, and Marta Lazzeri. 2024. “Respiratory and Physical Therapy in the Intensive Care Unit After Liver Transplantation for Acute-on-Chronic Liver Failure: A Case Report”. Monaldi Archives for Chest Disease, September. https://doi.org/10.4081/monaldi.2024.2898.
Copyright (c) 2024 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Ramadan M. Nafae, Waheed Shouman, Salwa H. Abdelmoneam, Samah M. Shehata, Conservative versus conventional oxygen therapy in type I acute respiratory failure patients in respiratory intensive care unit, Zagazig University , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Bruno Sposato, Significant gas-exchange improvements reported after roflumilast in two cases of severe COPD , Monaldi Archives for Chest Disease: Vol. 79 No. 3-4 (2013): Pulmonary series - Supplement 1
- Pietro Impellizzeri, Santi Nolasco, Raffaele Campisi, Antonino Cipolla, Alba Borgese, Stefano Alia, Nunzio Crimi, Claudia Crimi, Acute and long-term management of severe bronchiectasis with high flow nasal therapy: a case report , Monaldi Archives for Chest Disease: Vol. 93 No. 2 (2023)
- Federico Raimondi, Caterina Conti, Luca Novelli, Francesco Tarantini, Giuseppe Ciaravino, Piermario Scuri, Aurelia Grosu, Daniela Chinaglia, Lorenzo S.C. Grazioli, Andrea Gianatti, Ferdinando L. Lorini, Michele Senni, Fabiano Di Marco, A 57-year-old man with rapidly progressive pulmonary hypertension , Monaldi Archives for Chest Disease: Vol. 92 No. 1 (2022)
- Stefania Angela Di Fusco, Nadia Aspromonte, Stefano Aquilani, Luca Mele, Furio Colivicchi, Emergency reversal of vitamin-K antagonists related over-anticoagulation: case report and brief overview on the role of Prothrombin Complex Concentrate , Monaldi Archives for Chest Disease: Vol. 80 No. 4 (2013): Cardiac Series
- K. Psathakis, V. Skouras, F. Chatzivassiloglou, K. Tsintiris, Osteophytes may be a rare cause of recurrent pleural effusions , Monaldi Archives for Chest Disease: Vol. 79 No. 2 (2013): Pulmonary series
- Pramod Chaudhari, Pawan Kumar Singh, Manjunath Govindagoudar, Vinod Sharma, Puneet Saxena, Aman Ahuja, Lokesh Lalwani, Dhruva Chaudhry, Utility and timing of the respiratory rate-oxygenation index in the prediction of high-flow oxygen therapy failure in acute hypoxemic respiratory failure of infective etiology: a prospective observational study , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- A. Chroneou, N. Zias, B.S. Tronic, A.V. Gonzalez, J.F. Beamis Jr., A case of uncomplicated pulmonary alveolar proteinosis evolving to pulmonary fibrosis , Monaldi Archives for Chest Disease: Vol. 67 No. 4 (2007): Pulmonary series
- Maurizio Giuseppe Abrignani, Giovanni De Luca, Michele Gabriele, Nidal Tourkmani, The Health Department of Sicily “Regional recommendations for hospital discharge and communication with patients after admission due to a cardiologic event†Decree , Monaldi Archives for Chest Disease: Vol. 82 No. 2 (2014): Cardiac series
- Giorgio E. Polistina, Francesca Simioli, Pasquale Imitazione, Maurizia Lanza, Anna Annunziata, Giuseppe Fiorentino, Different presentation of pulmonary parenchymal disruption in COVID-19 pneumonia. Case series of Sub-Intensive Care Unit in Naples, Italy , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
<< < 8 9 10 11 12 13 14 15 16 17 > >>
You may also start an advanced similarity search for this article.
