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Updated: Jul 12, 2025

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
Respiratory physiotherapy as a tool to allow and optimize lung donation
Ricardo Miguel Rodrigues-Gomes1,2, Lucas Lage Cendón2, Rosa Martínez Rolán1,2
1Facultade Medicina, Universidade de Santiago de Compostela, Santiago Compostela, Spain.
Abstract:
Lung donation is complex and sometimes the secretion retention makes it impossible. We report a case of a patient that was screened as potential lung donor with PaO2/FiO2 ratio below range. As in viable patients, the respiratory physiotherapist applied a ventilator-based group of techniques with removal of huge amount of secretions and consequent increase in the PaO2/FiO2 ratio that allowed the inclusion of the patient as potentially lung donor. The protocol was applied until the extraction day, with successful extraction and transplantation. We believe that respiratory physiotherapy could have a potential role in increasing lung viability.
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