Pub Date : 2022-06-10DOI: 10.1177/15269248221107048
H. Mansell, M. Fenton, Julian S. Tam, Nicola Rosaasen, Louise Cardinal, Nicole Nelson
Introduction: Patients awaiting lung transplantation must learn new information to successfully navigate the transplant process. A supplemental video series was piloted to patients at home during the Covid-19 pandemic to improve pre-transplant education. Methods: A mixed methods study was undertaken to assess patient experiences with this method of education, confirm the ideal timing of the education, and identify gaps that require further attention. Semi-structured interviews were conducted with 17 one-on-one or dyadic (patients and caregivers) who viewed the video series at home. A third-party researcher (not involved in creation of the educational materials) conducted the interviews by phone, which were audio recorded and then transcribed verbatim. NVivo 12 Pro for Windows software was used to code the data and identify emerging themes. Results: Participants indicated that home-based videos were applicable, and informative and helpful (4.7 on 5-point Likert scale) and appreciated the advice and experiences of real patients. They were satisfied with their transplant education (4.2/5). While there were few aspects that the participants disliked about the videos, the interviews elicited outstanding questions about the transplant process (eg, logistical aspects of travel) and transplant concerns (eg, medications, expenses, and precautions in daily life). Conclusion: Patients being assessed or listed for lung transplant valued the novel electronic video education, and we will implement the home-based process into standard of care after the patient's initial visit with the transplant respirologist. Pre-transplant education will be tailored to help address the outstanding gaps identified in this program evaluation.
简介:等待肺移植的患者必须学习新的信息，以成功地导航移植过程。在Covid-19大流行期间，为改善移植前教育，在家中试点了一系列补充视频。方法:采用混合方法进行研究，以评估患者对这种教育方法的体验，确定理想的教育时机，并确定需要进一步注意的差距。对17名在家观看该系列视频的患者进行了一对一或二元(患者和护理人员)的半结构化访谈。一位第三方研究人员(没有参与教材的制作)通过电话进行了访谈，并将访谈录音，然后逐字抄录。使用NVivo 12 Pro for Windows软件对数据进行编码并识别新出现的主题。结果:参与者表示家庭视频适用，信息丰富，有帮助(5分李克特量表4.7分)，并欣赏真实患者的建议和经验。他们对移植教育感到满意(4.2/5)。虽然视频中几乎没有参与者不喜欢的方面，但访谈引出了关于移植过程(例如，旅行的后勤方面)和移植问题(例如，药物，费用和日常生活中的预防措施)的突出问题。结论:正在评估或列出肺移植的患者对新型电子视频教育非常重视，我们将在患者与移植呼吸内科医生初次就诊后，将以家庭为基础的过程纳入标准护理。移植前教育将量身定制，以帮助解决该计划评估中确定的突出差距。
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Pub Date : 2022-04-12DOI: 10.1177/15269248221092742
K. Shetty, Z. Lominadze, K. Saharia, S. Challa, Maria Montenegro, R. Meier, Saad Malik, J. Alvarez-Casas, Sasan Sakiani, Neha R. Jakhete, N. Urrunaga, S. Gray, D. Maluf
The ongoing burden of COVID-19 in persons with end stage liver failure necessitates the development of sound and rational policies for organ transplantation in this population. Following our initial experience with two COVID-19 recovered recipients who died shortly after transplant, we adjusted our center policies, re-evaluated outcomes, and retrospectively analyzed the clinical course of the subsequent seven COVID-19 recovered recipients. There were two early deaths and 5 successful outcomes. Both deceased patients shared common characteristics in that they had positive SARS-CoV2 PCR tests proximal to transplant (7-17 days), had acute on chronic liver failure, and suffered thromboembolic phenomena. After a careful review of clinical and virological outcome predictors, we instituted policy changes to avoid transplantation in these circumstances. We believe that our series offers useful insights into the unique challenges that confront transplant centers in the COVID-19 era and could guide future discussions regarding this important area.
{"title":"Clinical Practice Issues for Liver Transplantation in COVID-19 Recovered Recipients","authors":"K. Shetty, Z. Lominadze, K. Saharia, S. Challa, Maria Montenegro, R. Meier, Saad Malik, J. Alvarez-Casas, Sasan Sakiani, Neha R. Jakhete, N. Urrunaga, S. Gray, D. Maluf","doi":"10.1177/15269248221092742","DOIUrl":"https://doi.org/10.1177/15269248221092742","url":null,"abstract":"The ongoing burden of COVID-19 in persons with end stage liver failure necessitates the development of sound and rational policies for organ transplantation in this population. Following our initial experience with two COVID-19 recovered recipients who died shortly after transplant, we adjusted our center policies, re-evaluated outcomes, and retrospectively analyzed the clinical course of the subsequent seven COVID-19 recovered recipients. There were two early deaths and 5 successful outcomes. Both deceased patients shared common characteristics in that they had positive SARS-CoV2 PCR tests proximal to transplant (7-17 days), had acute on chronic liver failure, and suffered thromboembolic phenomena. After a careful review of clinical and virological outcome predictors, we instituted policy changes to avoid transplantation in these circumstances. We believe that our series offers useful insights into the unique challenges that confront transplant centers in the COVID-19 era and could guide future discussions regarding this important area.","PeriodicalId":346415,"journal":{"name":"Progress in Transplantation (Aliso Viejo, Calif.)","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122626748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-18DOI: 10.1177/15269248221087430
J. Richards, R. Gaurav, A. Butler, C. Watson
deceased been utilised to the potential and up the ever-increasing for The main limitation of this approach is the extra warm ischemic injury, which is not experienced in donation after brainstem death (DBD), and which impacts on rates of early allograft dysfunction, primary non-function (PNF), ischemic cholangiopathy and failure.
{"title":"The 6 C's of Normothermic Regional Perfusion","authors":"J. Richards, R. Gaurav, A. Butler, C. Watson","doi":"10.1177/15269248221087430","DOIUrl":"https://doi.org/10.1177/15269248221087430","url":null,"abstract":"deceased been utilised to the potential and up the ever-increasing for The main limitation of this approach is the extra warm ischemic injury, which is not experienced in donation after brainstem death (DBD), and which impacts on rates of early allograft dysfunction, primary non-function (PNF), ischemic cholangiopathy and failure.","PeriodicalId":346415,"journal":{"name":"Progress in Transplantation (Aliso Viejo, Calif.)","volume":"589 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122934629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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