Showing posts with label Novalung. Show all posts
Showing posts with label Novalung. Show all posts

Monday, July 12, 2010

Specialist flown to Quebec from Toronto for artificial lung surgery

Sherbrooke man survives rare lung surgery

Procedure is the first of its kind in Quebec history

CBC News

Doctors in Sherbrooke, Que. are hopeful that a man suffering from severe pneumonia may have a fighting chance after surviving a rare lung procedure.

The man is believed to be the first in Quebec to have survived the surgery to attach an external artificial lung, known as a Novalung, to his leg.

The device is meant to perform some of the functions of a normal lung, including clearing the body of carbon dioxide and pumping a small amount of oxygen into the body through the arteries and veins in the leg.

The patients involved in the first two surgeries in Quebec did not survive the procedure.

Doctors said the device can only operate for up to 29 days.

“It's going to be there for a short period of time, after a while we're going to take it out. The device is just to let the lung recover from the pneumonia,” said Dr. Marco Sirois, a thoracic surgeon with Sherbrooke University Health Centre.

The 47-year old patient, who cannot be identified due to privacy regulations, is still in critical condition.

His daughters said they remain optimistic, despite the fact that their father is still seriously ill.

"We’re trying to stay realistic," said Noémie, one of the patient's daughters.

"But the surgery has given us hope,” said the other daughter, Jessica.

The surgery is so rare in Quebec that doctors in Sherbrooke sought the help of a specialist from Toronto, who was flown in from Montreal in a Quebec provincial police helicopter.

The Novalung is also sometimes used to help patients who are waiting for a lung transplant.

“You Have the Power to Save Lives – Register to be an organ and tissue donor & Tell Your Loved Ones of Your Decision”
Register to be a donor in Ontario or Download Donor Cards from Trillium Gift of Life Network. NEW for Ontario: recycleMe.org - Learn The Ins & Outs Of Organ And Tissue Donation. Register Today! For other Canadian provinces click here
In the United States, be sure to find out how to register in your state at ShareYourLife.org or Download Donor Cards from OrganDonor.Gov
In Great Britain, register at NHS Organ Donor Register
In Australia, register at Australian Organ Donor Register
Your generosity can save up to eight lives with heart, kidneys, liver, lungs, pancreas and small intestine transplants (see allotransplantation). One tissue donor can help 75 to 100 other people by donating skin, corneas, bone, tendon, ligaments and heart valves

Has your life been saved by an organ transplant? "Pay it forward" and help spread the word about the need for organ donation - In the U.S. another person is added to the national transplant waiting list every 11 minutes and 18 people die each day waiting for an organ or tissue transplant. Organs can save lives, corneas renew vision, and tissue may help to restore someone's ability to walk, run or move freely without pain. Life Begins with You

Friday, December 18, 2009

Portable artificial lung keeps patient alive for transplant

In addition to this article about bridge-to-transplant devices, also read my previous post about how surgeons at Toronto General Hospital (TGH) used the Novalung to save the life of a 16-year-old girl. The German-made machine is hooked up to both of the patient's legs. Blood is pumped from one leg and into a machine that removes the carbon dioxide, and re-oxygenates the blood, before it goes back into the body through the other leg. The machine essentially temporarily replaces the patient's lungs when they fail.

By R&Dmag.com

A 50-year-old former marathon runner with end-stage cystic fibrosis became one of the few in the world and the first in New York to use a new portable artificial lung to extend her life while waiting for a lung transplantation.

A standard respiratory ventilator was no longer effective at keeping the patient alive because her lungs had become too diseased.

Administered by the transplant team at NewYork-Presbyterian Hospital/Columbia University Medical Center, the device provided oxygen to the patient without her needing to rely on a ventilator. Bypassing her lungs, it oxygenated her blood directly through a two-way connection to a vein in her chest.

"The portable ECMO device, which works like an artificial lung, saved this woman's life," says Dr. Matthew Bacchetta, the thoracic surgeon at NewYork-Presbyterian Hospital/Columbia University Medical Center who led the transplant surgery. He is also assistant professor of surgery at Columbia University College of Physicians and Surgeons. "By connecting her to this machine, she was able to get the oxygen her body desperately needed. At the same time, she was able to eat, walk around, even talk on her own. As a result, she regained the strength needed to undergo a major surgery. This was a huge factor in making her transplant surgery a success."

The artificial lung is a state-of-the-art technology first developed in the early 1980s for neonatal care. Known as ECMO (extracorporeal membrane oxygenation), the machine oxygenates blood by pumping blood in and out of multiple tubes connected to a patient. A "membrane oxygenator" imitates the gas exchange process of the lungs, removing carbon dioxide and adding oxygen.

The artificial lung used for this patient at NewYork-Presbyterian/Columbia is constructed of components made by companies in the United States and Germany. A notable feature is a special cannula, or tube, that allows for a single connection, as opposed to the standard two connections, between the patient and the machine. This innovation makes it possible for patients to walk around with the portable oxygenator.

A standard respiratory ventilator requires patients to be sedated with a tube inserted in the mouth to oxygenate the patient's own lungs. In addition, patients on respirators are at risk for pneumonia, severe systemic infection, multi-organ failure and death.

"Just as left ventricular assist devices have saved the lives of countless patients with heart failure, we expect this machine may do the same for lung patients," Dr. Joshua R. Sonett, chief of general thoracic surgery and surgical director of the lung transplant program at NewYork-Presbyterian Hospital/Columbia University Medical Center and professor of clinical surgery at Columbia University College of Physicians and Surgeons. "And as the technology further develops, we might even see portable artificial lungs used as a longer-term treatment for some patients not eligible for transplantation."

Cystic Fibrosis
Cystic fibrosis is ranked as one of the most widespread life-shortening genetic diseases. The lung disease results from clogging of the airways due to mucosa build-up, which causes inflammation. Inflammation and infection cause injury and structural changes to the lungs, leading to a variety of medical problems. Respiratory failure is the most common cause of death.


“You Have the Power to Save Lives – Register to be a donor & Tell Your Loved Ones of Your Decision”

Register to be a donor in Ontario or Download Donor Cards from Trillium Gift of Life Network. NEW for Ontario: recycleMe.org - Learn The Ins & Outs Of Organ And Tissue Donation. Register Today! For other Canadian provinces click here

In the United States, be sure to find out how to register in your state at ShareYourLife.org or Download Donor Cards from OrganDonor.Gov

In Great Britain, register at NHS Organ Donor Register

In Australia, register at Australian Organ Donor Register

Your generosity can save up to eight lives with heart, kidneys, liver, lungs, pancreas and small intestine transplants. One tissue donor can help up to 100 other people by donating skin, corneas, bone, tendon, ligaments and heart valves

Has your life been saved by an organ transplant? "Pay it forward" and help spread the word about the need for organ donation - In the U.S. another person is added to the national transplant waiting list every 11 minutes and 18 people die each day waiting for an organ or tissue transplant.

Saturday, May 30, 2009

Whitby, Ontario teen to compete in World Transplant Olympics

Katie Sutherland wants to go to the World Transplant Games
Let's help Katie Sutherland get to the World Transplant Games in Australia this August. She needs $9,000 in total. Donations can be made at her donor page.

Read my post about Katie Sutherland's Lung Transplant after she was kept alive for an entire month with an external artificial lung system, the German-made Novalung device. She was in desperate need of a lung transplant but there was no matching donor lungs available and the external device kept her alive until a suitable donor lung was found.


BY PARVANEH PESSIAN Newsdurhamregion.com

WHITBY -- It's been only a year since Katie Sutherland lay in a hospital bed clinging to life, but the Whitby teen is getting ready to compete in an international sports competition.

Katie, 16, underwent a double lung transplant last year and since then has been building her strength back up to take part in the World Transplant Olympics being held in Australia this summer.

"Some people think that once you have an (organ transplant), you might just be in bed or not doing anything but we're trying to show that organ donation actually works so people are aware of that," said Katie, who is an avid soccer player.

Katie was diagnosed with pulmonary hypertension, a rare lung disorder that constricts veins and arteries in the lungs and forces the heart to work harder than usual to pump blood to the lungs.

Surgeons at Toronto's Hospital for Sick Children fought to save her life in a three-hour emergency operation that involved attaching Katie's heart to an external artificial lung* that kept her alive for 30 days until a double lung transplant could be performed.

The World Transplant Games promote the high levels of health and vitality that can be achieved after transplantation. Starting out with only about 100 competitors back when the Games were established more than 30 years ago, the event now draws up to 3,000 participants from up to 70 countries.

To support Katie's participation in the Games, where she'll be competing in the 100-meter track, ping pong, badminton and other categories, staff at Valentino's Hair Salon in Whitby are rallying around the teen to raise money to send her to Australia.

"We do fundraisers all year round but we usually pick one big one so this year we decided to support Katie," salon manager Teresa Abbatangelo said.

"She is one of our own clients and she has quite a great demeanor after what she's been through while continuing to do very well in school so we wanted to help out."

Valentino's will host a cut-a-thon at Katie's school, Sinclair Secondary at 380 Taunton Rd. E. in Whitby, offering students, faculty and all members of the public haircuts for $20 each.

Fundraising efforts have already helped Katie raise just over half her goal of $9,000 but she hopes to see even more success with the assistance of the community.

To book an appointment for the cut-a-thon, taking place from 10 a.m. to 4 p.m. on Wednesday, June 3, call Sinclair Secondary School at 905-666-5400.

To make a donation toward Katie's fundraising efforts to join Team SickKids in the competition, visit her donor page.

*About the Novalung
The $5,000 device, about the size of a CD case, is connected to an artery in the patient’s leg. Blood flows through it, across a thin membrane attached to an oxygen supply. Carbon dioxide is exchanged for oxygen, and the blood flows back into a vein in the leg. Merv.

“You Have the Power to Save Lives – Sign Your Donor Card & Tell Your Loved Ones of Your Decision”

Register to be a donor in Ontario or Download Donor Cards from Trillium Gift of Life Network
For other Canadian provinces click here

In the United States, be sure to find out how to register in your state at ShareYourLife.org or Download Donor Cards from OrganDonor.Gov

In Great Britain, register at NHS Organ Donor Register

In Australia, register at Australian Organ Donor Register

Your generosity can save up to eight lives with heart, kidneys, liver, lungs, pancreas and small intestine transplants. One tissue donor can help up to 100 other people by donating skin, corneas, bone, tendon, ligaments and heart valves

Friday, February 27, 2009

Artificial lung saves man's life at Toronto General Hospital

I met Ken Thompson last June at the Lung Transplant Golf Tournament. The event is held each year to raise funds for lung transplant research at Toronto General Hospital (June 4th this year) and Ken was introduced as a lung recipient who was kept alive by the Novalung "bridge to transplant" until a donor lung was found for him. Here he proudly poses with other lung transplants at the June 5, 2008 tournament.

Ken Thompson (seated) poses with other lung transplant recipients:
Front: Al Jack, Merv Sheppard, Kellie Cooper, Judy Penner, Kim Cassar, Ken Thompson, Bob Webster
Back: Ralf Quast, Grant Hagerty, Avril Koyanagi


Have an opinion on this article? Click comments at the end of this post.

By Kurtis Elsner The Alliston Herald

Ken Thompson sits in a recliner chair in the living room of his Alliston home. He is covered with a blanket, and has difficulty moving. At times he has difficulty breathing. Surrounded by family, he listens closely as they recount his story. It's one he barely remembers, but one that doctors have called a miracle.

"They called him their miracle man, because they really didn't think he'd pull through," said Ken's wife, Ann.

It started in 2005, when Thompson went to his doctor because he had trouble breathing.

"I couldn't breath properly," he said. "I needed more air."

That year he was diagnosed with pulmonary fibrosis, a disease that destroys the lungs' ability to transfer oxygen to the blood stream. Since his diagnosis, Thompson and his family have been on an emotional rollercoaster ride that included a state-of-the-art piece of technology that kept him alive just long enough for a lung transplant.

"There were three times that (doctors) said, 'he won't make it, say your goodbyes'," said his 18-year-old daughter, Kayla.

After Thompson was diagnosed, he was put on oxygen to help him breath. He was able to live at home, but had to be hooked up to oxygen tanks at night.

In 2006, his condition worsened. By December of that year he could no longer work at his job at Borden Metals. Doctors increased his medication, and his family starting inquiring about getting Thompson on a list for a lung transplant, said Ann.

While family members were looking into the transplant list, Thompson's condition deteriorated and by late April of 2007 his family rushed him to Stevenson Memorial Hospital. A day later, doctors there sent him to Royal Victoria Hospital in Barrie. Kayla said she was warned he might not survive the trip. The family braced for the worst.

Thompson did make it to Barrie, but after a weeklong stay his condition deteriorated further and he was sent to Toronto General Hospital.

After a series of rigorous tests, Thompson was identified as a candidate for a transplant and was added to the long list of people awaiting donors May 17.

With Thompson's lungs failing fast, and the outlook for a donor unknown, on May 24 Thompson was put on a new technology known as a Novalung.

The German-made machine is hooked up to both of the patient's legs. Blood is pumped from one leg and into a machine that removes the carbon dioxide, and re-oxygenates the blood, before it goes back into the body through the other leg. The machine essentially temporarily replaces the patient's lungs when they fail.

Late on May 29, doctors said Thompson could only stay on the Novalung for another 12 hours, because of tissue damage to his legs, Ann said. Doctors would then have to disconnect it and let nature take its course. All the Thompson family and doctors could do was wait and see if a donor became available.

It was an excruciating wait, and one that's outcome was dependent on the tough decision of other families, said Ann.

"(The donor) has to be someone on life support," said Ann. "It's up to that family to say they're going to pull the plug."

Thompson's team of doctors cast a large net looking for lungs. At first the search was centered on Toronto, but eventually it opened up to across North America, Ann said.

Then, with little time remaining, the Thompsons received the news they had been waiting for - lungs were available, and they were from a patient in Toronto. Ann was asleep at the time, and she was woken up by two of Ken's sisters.

"They said, 'he has won the lottery. He's got lungs, he's got lungs coming," recalls Ann.

Preparation for the transplant began immediately. After what was about a six-hour surgery, Thompson had a new set of lungs. By the time doctors were able to take Thompson off of the Novalung, he had gone over the 12-hour threshold by 15 minutes. Doctors tried to repair the tissue damage from the machine, but Thompson has large holes and scars in his thighs, where the machine was hooked up.

Dr. Shaf Keshavjee is the director of the Toronto Lung Transplant Program, and he said the Novalung buys more time for people waiting for lung transplants. Unlike other artificial lungs, the Novalung does not require an artificial pump, and lets the patient's heart pump the blood. This means less damage to the body and fewer complications.

"Twenty per cent of the people that are listed for a lung transplant will die before they have an organ available for them," said Keshavjee. "So, for the few people that are candidates for this therapy, now you can put them on the Novalung and buy them some time until an organ becomes available."

For Thompson, his timing was lucky. He was one of the first people in Canada to go on the Novalung. Even now, two years later, the technology is rarely used in patients.

Keshavjee said Toronto General does about 100 lung transplants a year, and of those cases only about three or four go on the Novalung.

While the transplant saved his life, the whole ordeal continues to be a difficult one for Thompson and his family. He remembers little of his time in hospital, and his memory of things before the surgery has been hampered as well. He had a difficult time remembering Alliston when he returned, and didn't remember his house either.

"And I've lived in Alliston all my life too - 56 years," he said.

Since the transplant, there has been a series of medical hurdles Thompson has had to jump. He has had several medical complications, many of which Ann said likely stem from the cocktail of drugs Thompson has to take daily.

For example, every Monday morning he wakes up and takes 27 pills, consisting of both drugs and vitamins. He'll take over a dozen more before bed.

He has suffered seizures and fallen down. He had a throat stent because of tissue damage caused by intubation. He has also had difficulty walking, because of the damage to his legs caused when he was hooked up to the Novalung.

Despite the ups and downs, Thompson said he has received excellent support from his family and friends. His wife, Ann, has refused to give up, or let Thompson give up.

"It's been one hell of a rollercoaster ride, but if we ever had to do it again, we certainly would," she said.

Thompson has been improving, but he and his family have learned that progress is made with small steps. He has a physiotherapist come in to help him walk again, and Ann said she is determined to have him walking again by the spring. He had made some strides, and last summer was able to achieve one of his goals. He had regained some of his motor abilities, and was able to mow his lawn with a riding mower, a time he looks back on fondly and proudly.

But Thompson was admitted to hospital again this January, and after a month-long stay, he has had to start over once again.

The father of two's biggest goal is learning to walk, and thankfully he has a major motivation to accomplish it - his daughters, Kayla and Kendal.

"My dad and I are best friends. He's my life," said Kayla. "He's my miracle."

Kayla still lives at home, and she and her fiancé, Max Kueper, help with Thompson's recovery. While the help and support from his family is greatly appreciated, his daughter's engagement especially has given Thompson all the motivation he needs.

"I have to walk my daughter down the aisle," he said.

Merv's note: For more info and a video about the Novalung device see my recent post about 16-year-old Katie Sutherland who's life was also saved by the Novalung

“You Have the Power to Save Lives – Sign Your Donor Card & Tell Your Loved Ones of Your Decision”

Register to be a donor in Ontario or Download Donor Cards from Trillium Gift of Life Network
For other Canadian provinces click here

In the United States, be sure to find out how to register in your state at ShareYourLife.org or Download Donor Cards from OrganDonor.Gov

In Great Britain, register at NHS Organ Donor Register

In Australia, register at Australian Organ Donor Register

Your generosity can save up to eight lives with heart, kidneys, liver, lungs, pancreas and small intestine transplants. One tissue donor can help up to 100 other people by donating skin, corneas, bone, tendon, ligaments and heart valves

Thursday, February 19, 2009

Artificial lung kept teen alive until transplant

This story has special meaning for me because Dr. Shaf Keshavjee is the surgeon that performed my lung transplant and saved my life. He is one of the world's leading scientists in the field of lung transplant research and lung transplant surgery. His body of work is having a global impact and I am proud to know him.

Dr.Shaf Keshavjee


Katie Sutherland, a lung transplant patient who was kept alive with an external artificial lung system, speaks with Canada AM in Toronto on Wednesday, Feb. 18, 2009.
Go the CTV story for photos, video report,  interviews

CTV.ca

Last summer, 16-year-old Katie Sutherland was on the brink of death, her lungs failing, her heart working far too hard. She needed a lung transplant quickly but no good matches were available.

Then, her doctors at Toronto's Hospital for Sick Children decided they would take a risk and try something that had never been performed before on a child. They hooked her up to an external artificial lung system.

The procedure allowed Katie to stay alive for an entire month -- long enough for suitable donor lungs to become available. Today, with new lungs in her chest, Katie is resuming a normal life, thanks to the bold decision of her doctors.

The device the doctors used was the German-made Novalung. The device takes over much of the job of circulating her blood, filling it with oxygen and filtering out the carbon dioxide. Unlike older artificial lungs which were run by mechanical pumps, Novalung is powered by the patient's own heartbeat.

Just two years ago, an Ontario mother became the first adult patient in North America to be hooked up to a Novalung, when doctors at Toronto General Hospital helped Yen Tran stay alive long enough for a heart and lung transplant.

Like Tran, Katie was suffering from pulmonary hypertension, a rare disorder in which the blood vessels in the lungs constrict, forcing the heart to work much harder than normal.

In the days before her surgery, Katie's heart was failing fast. It had swelled up to four times its regular size but was still unable to pump enough blood.

A 10-member team led by Dr. Shaf Keshavjee, Dr. Marc de Perrot and Dr. Andrew Pierre, SickKids cardiovascular thoracic surgeons, decided Katie needed surgery fast.

Keshavjee (pictured) told Canada AM Wednesday that Katie was so ill in the hours before her surgery, she almost certainly would have died that night.

"Patients with pulmonary hypertension are amongst the most challenging because they die so quickly and so suddenly," he said.

"So this (Novalung) really does open the doors and gives us a bridge for a period of time for when we might get an organ donor."

The three-hour surgery was difficult; at one point, Katie's weakened heart went into cardiac arrest.

But afterwards, the teen's condition improved almost immediately. Two days after being put on the Novalung, Katie could go off her ventilator. She was able to sit up in her hospital bed, eat, and talk with family and friends while attached to the artificial lung.

Then, 30 days later, Katie's family got the news they had been waiting for so long: a pair of donor lungs had become available.

Katie is now home again with her new pair of lungs, back to school and just returned from a surfing trip. Her father, Paul Sutherland, is filled with gratitude for the staff at SickKids.

"We know that Katie's life has been saved, and we are incredibly thankful to the staff," he says. "To actually experience a technological step forward is very humbling."

And Katie is amazed that an artificial lung the size of a portable CD player kept her alive.

"It just seems unreal that this little box saved my life," she told Canada AM.

“You Have the Power to Save Lives – Sign Your Donor Card & Tell Your Loved Ones of Your Decision”

Register to be a donor in Ontario or Download Donor Cards from Trillium Gift of Life Network
For other Canadian provinces click here

In the United States, be sure to find out how to register in your state at ShareYourLife.org or Download Donor Cards from OrganDonor.Gov

In Great Britain, register at NHS Organ Donor Register

In Australia, register at Australian Organ Donor Register

Your generosity can save up to eight lives with heart, kidneys, liver, lungs, pancreas and small intestine transplants. One tissue donor can help up to 100 other people by donating skin, corneas, bone, tendon, ligaments and heart valves

Monday, February 12, 2007

A North American first in lung transplant will be announced on Wednesday, February 14, 2007 at Toronto General Hospital, University Health Network

On Wednesday, February 14, 2007 at Toronto General Hospital, a North American first in lung transplant is being introduced to the media . A young mother, whose life was saved by an innovative device, and a subsequent lung and heart transplant, will speak and answer any media questions about her remarkable recovery. Medical experts will also be available to speak about procedure.

This special event will take place during the regular lung transplant support group meeting from 11AM to 12PM.

Location: Toronto General Hospital, Astellas Pharma Conference Room (previously named: “Fujisawa Conference Room”), NCSB 11C- Room 1135 (11th Floor - please use west elevators). This is an open meeting and all are welcome