Perioperative fluid management for lung transplantation is challenging

Qirui Duan; Yajun Zhang; Dong Yang

doi:10.1016/j.heliyon.2023.e14704

Perioperative fluid management for lung transplantation is challenging

Heliyon. 2023 Mar 21;9(4):e14704. doi: 10.1016/j.heliyon.2023.e14704. eCollection 2023 Apr.

Authors

Qirui Duan¹, Yajun Zhang², Dong Yang¹

Affiliations

¹ Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, China.
² China-Japan Friendship Hospital, Beijing, 100020, China.

Abstract

Lung transplantation is the definitive end-stage treatment for many lung diseases, and postoperative pulmonary oedema severely affects survival after lung transplantation. Optimizing perioperative fluid management can reduce the incidence of postoperative pulmonary oedema and improve the prognosis of lung transplant patients by removing the influence of patient, donor's lung and ECMO factors. Therefore, this article reviews seven aspects of lung transplant patients' pathophysiological characteristics, physiological characteristics of fluids, the influence of the donor lung on pulmonary oedema as well as current fluid rehydration concepts, advantages or disadvantages of intraoperative monitoring tools or types of fluids on postoperative pulmonary oedema, while showing the existing challenges in section 7. The aim is to show the specificity of perioperative fluid management in lung transplant patients and to provide new ideas for individualised fluid management in lung transplantation.

Keywords: Anaesthetic management; Fluid management; Lung transplantation; Monitors; Pulmonary oedema.

Publication types

Review