[Intensive care in lung and heart-lung transplantation].
Intensive care after lung, and heart-lung transplantation may have simple post operative course specially after preventive procedures of reperfusion injury, nosocomial infections during mechanical ventilation and immunosuppression risks. Nevertheless a severe mediastinal shift may occurred after single lung transplantation in emphysema. Rapid changes in ventilation/perfusion ratio during lung infection or rejection specially in pulmonary hypertension are responsible of dramatic respiratory failure. Knowledge of multiorgan dysfunction and multidisciplinary experience encourage to future development.
Bastien
O
O
Service d'Anesthésie Réanimation, Hôpital Cardio-vasculaire et Pneumologique L.-Pradel, Lyon.
Paulus
S
S
Bertocchi
M
M
D003422:Critical Care; D003428:Cross Infection / Q000517:prevention & control; D006084:Graft Rejection / Q000503:physiopathology / Q000517:prevention & control; D016041:Heart-Lung Transplantation / Q000009:adverse effects / Q000502:physiology; D006801:Humans; D006976:Hypertension, Pulmonary / Q000503:physiopathology / Q000517:prevention & control; D007165:Immunosuppression Therapy / Q000009:adverse effects; D016040:Lung Transplantation / Q000009:adverse effects / Q000502:physiology; D009102:Multiple Organ Failure / Q000503:physiopathology / Q000517:prevention & control; D011656:Pulmonary Emphysema / Q000601:surgery; D015427:Reperfusion Injury / Q000517:prevention & control; D012121:Respiration, Artificial / Q000009:adverse effects; D012131:Respiratory Insufficiency / Q000503:physiopathology / Q000517:prevention & control; D014692:Ventilation-Perfusion Ratio