Hi Lisa
A refs re rejection and exercise: perhaps you have it already?
Effect of Acute allograft rejection on exercise haemodynamics in patients
who have undergone cardiac transplantation.
Nanas, J.N. et al
Chest 1995 Jun; 107 (6): 1517-21
Cheers
Kate Stevens
----- Original Message -----
From: Lisa Bairstow <[log in to unmask]>
To: <[log in to unmask]>
Sent: 26 March 2000 09:28
Subject: Re: transplant physiotherapy
> I work in Auckland with patients post cardiac surgery including heart and
> lung transplants and being the only centre in New Zealand that does these
> transplants we are quite isolated so I would be really keen to start a
> discussion group/forum!!!I would be interested to hear about different
> centres protocols for exercise prescription during different stages of
> rejection.We have our Recommended Best Practice already but are currently
> looking at any new available literature with a view to updating it if
> necessary.Regarding your questions re:chest physio for pts post CABG we
> assess all pts and if routine we believe the research from 1989-94
strongly
> advocates early mobilsation as being the key Rx with instruction in
> huffing/coughing but not breathing exercises.We feel that really in these
> ROUTINE pts, early mobilisation and education and advice on Discharge re
> exercise and activity guidelines is probably our most important focus
rather
> than "chest physio".Of course in reality we find there are still many
> non-routine pts,long term ventilated,heavy smokers,those with poor LFT's
> etc;!!!!!Will be interested to hear anyone elses views on this and
> transplants a/a!!!
>
> >From: "DStevens" <[log in to unmask]>
> >Reply-To: [log in to unmask]
> >To: <[log in to unmask]>
> >Subject: transplant physiotherapy
> >Date: Mon, 13 Mar 2000 19:12:28 -0000
> >
> >I work at Papworth Hospital, with general cardiothoracic surgery and
> >transplant (heart and lung) patients. I am interested in getting in touch
> >with other physio's who treat transplant patients with a view to
> >considering a special interest group / forum. Also, discussion continues
in
> >our department over the issue of chest treatment of routine post CABG/
> >valve surgery patients. Does any one have any comments on this? Do you
work
> >in a hospital where you no longer give chest physio for routine post
> >cardiac surgery patients? I'd like to hear your views / experiences.
> >Kate
>
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