Isolated lung transplantation for pulmonary fibrosis.
The peri-operative anaesthetic management of 11 patients with pulmonary fibrosis undergoing single-lung transplantation is presented. Intra-operative problems, the early postoperative phase of recovery and intensive care, and other incidents in which general anaesthesia was required for the management of complications, are featured. Results, both short- and long-term, are mentioned. Major intra-operative events that cause concern appear to be related to the severity of the presenting illness and the development of respiratory failure. Others have reported the development of intra-operative cardiac failure. All cases were successfully managed operatively using conventional one-lung anaesthesia, although resort to partial cardiopulmonary bypass may have been indicated in some. The indications and attitudes to utilising cardiopulmonary bypass in the evolution of techniques for facilitating single-lung transplantation are reviewed.
Conacher
I D
ID
Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne.
Dark
J
J
Hilton
C J
CJ
Corris
P
P
D000328:Adult; D000768:Anesthesia, General; D001145:Arrhythmias, Cardiac / Q000209:etiology; D003422:Critical Care; D005260:Female; D006321:Heart / Q000503:physiopathology; D006801:Humans; D007022:Hypotension / Q000209:etiology; D007431:Intraoperative Complications / Q000209:etiology; D008168:Lung / Q000503:physiopathology; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications / Q000209:etiology; D011658:Pulmonary Fibrosis / Q000503:physiopathology / Q000601:surgery*