title: The effectiveness of the "open chest" for the unstable patient after bilateral sequential lung transplantation.
abstract: Respiratory or hemodynamic instability after lung transplantation is one of the most challenging experiences a lung transplant surgeon and anesthesiologist face. We used an "open chest" approach as a feasible modality for managing these difficult patients. In this single-institution review of patients managed with this technique, we report the criteria for consideration, technical aspects, and overall effectiveness of this peri-operative strategy.
authors.affiliation: Division of General Thoracic and Foregut Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA. dcunh001@umn.edu
authors.forename: Jonathan
authors.initials: J
authors.lastname: D'Cunha
authors.forename: Natasha M
authors.initials: NM
authors.lastname: Rueth
authors.forename: Birtukan
authors.initials: B
authors.lastname: Belew
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Herrington
authors.forename: Marshall I
authors.initials: MI
authors.lastname: Hertz
authors.forename: Rosemary F
authors.initials: RF
authors.lastname: Kelly
authors.forename: Sara J
authors.initials: SJ
authors.lastname: Shumway
mesh_terms: D000328:Adult; D003550:Cystic Fibrosis / Q000601:surgery; D005260:Female; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery; D008168:Lung / Q000601:surgery*; D008171:Lung Diseases / Q000601:surgery; D016040:Lung Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011658:Pulmonary Fibrosis / Q000601:surgery; D012143:Respiratory Physiological Phenomena; D012189:Retrospective Studies; D019616:Thoracic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome