Anesthesia for Lung Transplantation

Anesthesiol Clin. 2017 Sep;35(3):473-489. doi: 10.1016/j.anclin.2017.05.003. Epub 2017 Jul 5.

Abstract

Perioperative management of patients undergoing lung transplantation is challenging and requires constant communication among the surgical, anesthesia, perfusion, and nursing teams. Although all aspects of anesthetic management are important, certain intraoperative strategies (mechanical ventilation, fluid management, extracorporeal mechanical support deployment) have tremendous impact on the subsequent evolution of the lung transplant recipient, especially with respect to allograft function, and should be carefully considered. This review highlights some of the intraoperative anesthetic challenges and opportunities during lung transplantation.

Keywords: Anesthesia; Graft dysfunction; Intraoperative management; Lung transplantation.

Publication types

  • Review

MeSH terms

  • Anesthesia*
  • Anesthetics
  • Cardiopulmonary Bypass
  • Echocardiography, Transesophageal
  • Extracorporeal Membrane Oxygenation
  • Hemodynamics
  • Humans
  • Lung Transplantation*
  • Perfusion
  • Preoperative Care
  • Respiration, Artificial

Substances

  • Anesthetics