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Weight loss for critical care patient to improve lung transplantation candidacy: A case report.

التفاصيل البيبلوغرافية
العنوان: Weight loss for critical care patient to improve lung transplantation candidacy: A case report.
المؤلفون: Garcia MC; Center for Human Nutrition, Division of Clinical Nutrition, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA., Surampudi V; Center for Human Nutrition, Division of Clinical Nutrition, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA., Li Z; Center for Human Nutrition, Division of Clinical Nutrition, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA., Saggar R; Division of Pulmonary and Critical Care Medicine, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA., Shah S; Division of Pulmonary and Critical Care Medicine, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
المصدر: Respiratory medicine case reports [Respir Med Case Rep] 2020 Aug 18; Vol. 31, pp. 101193. Date of Electronic Publication: 2020 Aug 18 (Print Publication: 2020).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101604463 Publication Model: eCollection Cited Medium: Print ISSN: 2213-0071 (Print) Linking ISSN: 22130071 NLM ISO Abbreviation: Respir Med Case Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Oxford] : Elsevier Ltd., c2012-
مستخلص: A 47-year-old male with morbid obesity and progressive pulmonary fibrosis was admitted to the intensive care unit (ICU) with worsening hypoxia and nocturnal ventilator dependence. Due to a significant oxygen requirement, the patient could only safely remain in an acute care setting. Unfortunately, he was not eligible for lung transplantation due to having obesity, a relative contraindication to lung transplantation due to potential for post transplantation complications and increased mortality. Therefore, we treated the patient with a modified very low calorie diet (MVLCD) to achieve weight loss. He had successful, sustained weight loss over a period of seven weeks and reached a target weight that made him eligible for transplantation. He subsequently underwent successful bilateral lung transplantation. The patient had improved metabolic parameters and no side effects attributable to the reduced calorie diet. This report shows that in patients with end stage lung disease and a poor prognosis without transplantation, inpatient weight loss is safe and may allow for potentially lifesaving lung transplantation.
Competing Interests: The authors of this manuscript have no conflicts of interest to disclose.
(© 2020 The Author(s).)
References: J Thorac Cardiovasc Surg. 2018 Apr;155(4):1871-1879.e3. (PMID: 29249487)
Am J Respir Crit Care Med. 2011 Nov 1;184(9):1055-61. (PMID: 21799077)
Obes Rev. 2016 Mar;17(3):225-34. (PMID: 26775902)
J Am Diet Assoc. 2003 Sep;103(9):1152-9. (PMID: 12963943)
J Heart Lung Transplant. 2015 May;34(5):651-7. (PMID: 25578626)
J Heart Lung Transplant. 2018 Dec;37(12):1443-1447. (PMID: 30228085)
Am J Transplant. 2017 Jan;17 Suppl 1:357-424. (PMID: 28052607)
JPEN J Parenter Enteral Nutr. 2018 Mar;42(3):508-515. (PMID: 28742432)
J Heart Lung Transplant. 2015 Jan;34(1):1-15. (PMID: 25085497)
N Engl J Med. 2015 Jun 18;372(25):2398-408. (PMID: 25992505)
Transplant Proc. 2017 Mar;49(2):344-347. (PMID: 28219596)
Transpl Int. 2016 Mar;29(3):285-96. (PMID: 26613209)
Am J Clin Nutr. 2015 Apr 29;101(6):1320S-1329S. (PMID: 25926512)
فهرسة مساهمة: Keywords: BMI, body mass index; ICU, Intensive care unit; Lung transplantation; MVLCD, modified very low calorie diet; Obesity; Survival; Weight loss; kcal, kilocalorie; kg, kilogram
تواريخ الأحداث: Date Created: 20200903 Latest Revision: 20200928
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7451811
DOI: 10.1016/j.rmcr.2020.101193
PMID: 32874911
قاعدة البيانات: MEDLINE
الوصف
تدمد:2213-0071
DOI:10.1016/j.rmcr.2020.101193