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
- Paolo Biagi, Luigi Abate, Massimo Alessandri, Salvatore Bocchini, Valerio Verdiani, Giuseppe Pettinà , Carlo Nozzoli, Heart failure with preserved systolic function: prevalence and clinical features in a cohort of patients admitted to internal medicine units. The study PRESYF-HF Tuscany , Monaldi Archives for Chest Disease: Vol. 68 No. 3 (2007): Cardiac series
- Sônia Elvira dos Santos Marinho, Dulciane Nunes Paiva, Guacyra Magalhães Pires Bezerra, Thayse Neves dos Santos Silva, Cláudia Regina Oliveira de Paiva Lima, Maria Cristina Falcão Raposo, Patrícia Érika de Melo Marinho, Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the ratio of arterial oxygen partial pressure to fractional inspired oxygen? A randomized clinical trial , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Michele Vitacca, Beatrice Salvi, Marta Lazzeri, Elisabetta Zampogna, Giancarlo Piaggi, Piero Ceriana, Serena Cirio, Luigino Rizzello, Grazia Lacala, Angelo Longoni, Vittoria Galimberti, Patrizia D'Ambrosio, Enrica Pavesi, Giuseppe La Piana, Antonella Sanniti, Alessandro Morandi, Manoel Vallet, Mara Paneroni, Respiratory rehabilitation for patients with COVID-19 infection and chronic respiratory failure: a real-life retrospective study by a Lombard network , Monaldi Archives for Chest Disease: Vol. 92 No. 3 (2022)
- Matteo Vigna, Piero Ceriana, Mara Santomassimo, Michele Vitacca, Mauro Maniscalco, Nicolino Ambrosino, Effects of pulmonary rehabilitation in survivors of severe acute respiratory syndrome coronavirus 2. Role of vaccination , Monaldi Archives for Chest Disease: Early Access
- Cristina Puricelli, Eleonora Volpato, Salvatore Sciurello, Antonello Nicolini, Paolo Banfi, Intermittent abdominal pressure ventilation: feasibility and efficacy in neuromuscular disease. A case report , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
- Naji Kholaif, Lin Batha, Isra Elmahi, Sulaiman Alnaser, Sultan Alzaher, Norah Almallohi , Mosaad Alhussein, Dana Alhalees, Ahmed Alshehri, Transplantation of heterozygous familial hypercholesterolemia living donor liver resulting in early myocardial infarction: a possible dangerous link , Monaldi Archives for Chest Disease: Early Access
- Nicola Rotolo, Maria Cattoni, Silvia De Maio, Luca Filipponi, Pau Mateo-Ramos, Andrea Imperatori, The surgical approach of late-onset tracheoesophageal fistula in a tracheostomized COVID-19 patient , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- Andrea Dell'Aquila, Edoardo Sciatti, Enrico Vizzardi, Marco Metra, The brain-heart connection: a multiple sclerosis relapse presenting as Takotsubo Syndrome. A case report and literature review , Monaldi Archives for Chest Disease: Vol. 90 No. 1 (2020)
- Fabrizio Scafa, Alessia Gallozzi, Giovanni Forni, Stefano M. Candura, Work resumption after invasive heart procedures, rehabilitation and ergonomic evaluation: from the hospital to the workplace , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Simone Pasquale Crispino, Andrea Segreti, Ylenia La Porta, Paola Liporace, Myriam Carpenito, Valeria Cammalleri, Francesco Grigioni, A sudden right-to-left shunt: the importance of evaluating patent foramen ovale during exercise , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
<< < 19 20 21 22 23 24 25 26 27 28 > >>
You may also start an advanced similarity search for this article.
