European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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Eur J Cardiothorac Surg · Feb 2004
Case ReportsTreatment of severe acute lung allograft rejection with OKT3 and temporary extracorporeal membrane oxygenation bridging.
The use of OKT3 for treatment of advanced high-grade acute rejection episodes eventually can result in cytokine release and consecutive pulmonary edema. Temporary extracorporeal membrane oxygenation (ECMO) bridging can be used to overcome this crucial period before the beneficial effects of OKT3 can be observed. ⋯ We conclude that the use of ECMO support in patients experiencing significant side effects from OKT3 therapy is a useful and effective therapeutic tool to overcome the initial critical period until the lung has sufficiently recovered.
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Eur J Cardiothorac Surg · Feb 2004
Preoperative prediction of prolonged stay in the intensive care unit for coronary bypass surgery.
To construct a predictive model for a prolonged stay in the intensive care unit (ICU) for coronary artery bypass graft surgery (CABG). ⋯ The results show that individual patients presented for CABG, can be stratified according to their risk for prolonged stay >/=3 days in the ICU.