Brzezinski M, Mladinov D, Neyrinck A. Anesthetic Management During Lung Transplantation - What's New in 2021?
Thorac Surg Clin 2022;
32:175-84. [PMID:
35512936 DOI:
10.1016/j.thorsurg.2022.01.001]
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Abstract
As outcomes of lung transplantation (LTx) are improving transplant centers are pushing boundaries. There has been a steady increase in the medical complexity of lung transplant candidates. Many transplant centers are listing older patients with comorbidities, and there has been a steady rise in the number of candidates supported with extracorporeal membrane oxygenation (ECMO) as a bridge to transplantation. There has been a growing appreciation of the importance intraoperative management of potentially modifiable risk factors has on postoperative outcomes. Evidence suggests that LTx even in high-risk patients requiring perioperative ECMO can offer excellent results. This article outlines the current state-of-the-art intraoperative management of LTx.
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