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Related Concept Videos

Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Hepatic Encephalopathy01:29

Hepatic Encephalopathy

DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic shunting—including...
Urea Cycle01:23

Urea Cycle

The urea cycle describes how liver cells convert ammonia to urea. Ammonia is a toxic waste product of protein catabolism. Land animals must convert ammonia into the less toxic urea which can be safely eliminated by the kidneys through urine. Marine animals excrete ammonia directly, and the surrounding water dilutes the ammonia to safe levels.
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.

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Related Experiment Video

Updated: May 8, 2026

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
07:28

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

Published on: October 11, 2024

Symptomatic hyperammonemia after lung transplantation: lessons learnt.

Siddiq Anwar1, Diptesh Gupta, Muhammad A Ashraf

  • 1Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.

Hemodialysis International. International Symposium on Home Hemodialysis
|September 4, 2013
PubMed
Summary
This summary is machine-generated.

Hyperammonemia after lung transplant is fatal, but prompt intervention can save lives. Aggressive dialysis and multidisciplinary care significantly improve survival rates for these critical patients.

Keywords:
Hyperammonemiadialysislung transplantationrenal replacement therapy

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Left Lung Orthotopic Transplantation in a Juvenile Porcine Model for ESLP
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Last Updated: May 8, 2026

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
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Left Lung Orthotopic Transplantation in a Juvenile Porcine Model for ESLP
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Area of Science:

  • Medicine
  • Nephrology
  • Transplantation

Background:

  • Hyperammonemia is a rare, often fatal complication following orthotopic lung transplantation.
  • Existing therapies for hyperammonemia include reducing ammonia production, enhancing nitrogen excretion, and various dialysis methods.

Observation:

  • This study details three lung transplant recipients who experienced acute hyperammonemia early post-transplant.
  • Two patients survived a critical hyperammonemia episode through intensive management.

Findings:

  • A multidisciplinary approach involving drug cessation (urea cycle impairing), aggressive ammonia reduction via prolonged daily intermittent hemodialysis (HD), and slow low-efficiency nocturnal dialysis was employed.
  • Early steroid weaning and other therapeutic measures were also part of the successful strategy.

Implications:

  • Early, high-dose, and frequent hemodialysis is crucial for managing post-lung transplant hyperammonemia.
  • Hemodialysis is preferred over less efficient dialysis modalities for improved patient survival.
  • This approach offers a promising strategy for improving outcomes in lung transplant recipients with hyperammonemia.