Thorax Surgery
Compendium
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Compendium of Evidence 5.0 |
Bronchopleural fistulas
Bronchopleural fistulas following thorax trauma or as postoperative complication following thorax surgery (e.g., stump insufficiency after lung resection) require a reduction in the invasiveness of ventilation– especially with regard to pressure – in order to enable or support the healing of the lesion.
The iLA Membrane Ventilator® can be used in these indications to realise this need by means of ultra-protective ventilation and a drastic reduction in airway pressure. Prophylactic use to prevent postoperative fistulas and intraoperative use in connection with bronchotracheal resections are also well documented.
Bridge to lung transplantation
Patients with terminal chronic pulmonary insufficiency on the waiting list for a lung transplant often develop hypercapnic respiratory insufficiency, which may require mechanical ventilation.
In these patients the iLA Membrane Ventilator® enables the maintenance of spontaneous breathing and (partial) mobilisation. By regulating the CO2 elimination it allows regular physical breathing exercises to be carried out, which has a positive effect on the preparations for lung transplantation.
