Anesthetic considerations for nontransplant procedures in lung transplant patients.

Paolo Feltracco, Gianclaudio Falasco, Stefania Barbieri, Moira Milevoj, Eugenio Serra, Carlo Ori

Journal: Journal of clinical anesthesia 2012;23(6):508-16

PMID: 21911200

Full Text on Elsevier Science View on PubMed

Abstract

Lung transplantation has become an accepted option for many patients with end-stage pulmonary diseases. Anesthesia and surgery following lung transplantation may be required for various diseases that may affect both systemic organs and the transplanted graft. When a patient with a lung transplant undergoes surgery, there is the potential for interference with lung function, depending on the type of intervention and its anatomical site. Accurate preoperative evaluation, an understanding of the physiology of the transplanted lung, proper airway instrumentation, individualized management of intraoperative ventilation, and fluid balance are essential for a positive perioperative outcome.

Address: Department of Pharmacology and Anesthesiology, University Hospital of Padova, 2-35121 Padua, Italy. [email protected]

DOI: 10.1016/j.jclinane.2011.05.002

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MeSH Terms: Adrenal Cortex Hormones, Airway Management, Anesthesia, Anesthetics, Blood Circulation, Humans, Immunosuppressive Agents, Intubation, Intratracheal, Lung, Lung Transplantation, Monitoring, Intraoperative, Neuromuscular Blocking Agents, Pain, Postoperative, Premedication, Preoperative Care, Respiration, Artificial, Respiratory Mechanics, Risk Factors, Surgical Procedures, Operative, Ventilator Weaning, Water-Electrolyte Balance