PSYCHOSOCIAL AND ETHICAL ISSUES IN SURGICAL APPROACHES TO END-STAGE LUNG DISEASE

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• 作者：Jan D. Manzetti ; RN ; PhD^* ; Rachel Ankeny ; MA^* ; David Miller ; PhD^* ; FAClinP^*
• 刊名：Clinics in Chest Medicine
• 出版年：1997
• 出版时间：1 June 1997
• 年：1997
• 卷：18
• 期：2
• 页码：383-390
• 全文大小：810 K

文摘

Single lung (SL), double lung (DL), and heart¨Clung (HL) transplants provide promising treatment options for patients with terminal pulmonary and cardiopulmonary disease. Actuarial 1-year survival rates are 56 % for HL transplants and 67 % for both SL and DL transplants. Significant post-transplant improvements in pulmonary function and other measures of functional status have been reported for recipients. Although tremendous advances have been made in donor selection, allograft preservation, surgical techniques, immunosuppression, and rejection and infection treatments, a severe shortage of cadaveric donors continues to exist, resulting in greater than 12 months' wait time before transplantation for some lung transplant candidates. This article examines psychological factors during the transplant period. Issues relating to the current system for allocation of donor organs also are presented because they impact organ availability and, therefore, the time spent waiting for a lung transplant.