Thanks Marty and Fi.
So I guess that if we treat the deceased patient awaiting retreival of theirs lungs for subsequent transplant, then the question is what indications do we use to commence the treatment (?CXR findings, PF ratio, sputum quantity, CPIS), how often to treat, what outcome measures (again ?CXR findings, PF ratio, sputum quantity, CPIS). In my experiences often these patients have not had physio in the day or two leading up to officially being declared deceased (as neurologically unstable or no clear indication for resp PT- isolated ABI with clear CXR, low FiO2, little sputum, no resp PMH, etc)
Do you think the issue of VAP and the benefits of physio may be evident in the short term between diagnosis of brain death, initiation (or re-initiation) of resp PT, and the patient going to theatre for organ procurement?