Lung transplantation.
OBJECTIVE
To describe recent advances in lung transplantation relevant to anesthesiologists.


RESULTS
There is recent literature describing medical, surgical, anesthetic and critical care of lung transplant recipients.


CONCLUSIONS
There have been substantial changes in preoperative selection and preparation of lung transplant recipients; these include donation after cardiac death, and improved lung-preservation solutions. Newer immunosuppression regimens have been successfully evaluated in clinical trials. Particular advances in anesthesia include endorsement of fluid restriction in thoracic surgery, greater use of transesophageal echocardiography, and postoperative extracorporeal membrane oxygenation.
Myles
Paul S
PS
Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne, Australia. p.myles@alfred.org.au
Snell
Greg I
GI
Westall
Glen P
GP
D000758:Anesthesia; D003422:Critical Care; D017548:Echocardiography, Transesophageal; D006801:Humans; D016040:Lung Transplantation / Q000379:methods*; D009926:Organ Preservation; D013923:Thromboembolism / Q000209:etiology; D016896:Treatment Outcome