title: Anesthetic considerations for nontransplant procedures in lung transplant patients.
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.
authors.affiliation: Department of Pharmacology and Anesthesiology, University Hospital of Padova, 2-35121 Padua, Italy. paolofeltracco@inwind.it
authors.forename: Paolo
authors.initials: P
authors.lastname: Feltracco
authors.forename: Gianclaudio
authors.initials: G
authors.lastname: Falasco
authors.forename: Stefania
authors.initials: S
authors.lastname: Barbieri
authors.forename: Moira
authors.initials: M
authors.lastname: Milevoj
authors.forename: Eugenio
authors.initials: E
authors.lastname: Serra
authors.forename: Carlo
authors.initials: C
authors.lastname: Ori
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D058109:Airway Management; D000758:Anesthesia; D000777:Anesthetics / Q000009:adverse effects; D001775:Blood Circulation / Q000502:physiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D007442:Intubation, Intratracheal; D008168:Lung / Q000502:physiology; D016040:Lung Transplantation / Q000009:adverse effects / Q000502:physiology*; D016343:Monitoring, Intraoperative; D009466:Neuromuscular Blocking Agents; D010149:Postoperative Pain / Q000628:therapy; D011292:Premedication; D011300:Preoperative Care; D012121:Respiration, Artificial; D015656:Respiratory Mechanics; D012307:Risk Factors; D013514:Surgical Procedures, Operative / Q000379:methods; D015300:Ventilator Weaning; D014882:Water-Electrolyte Balance / Q000502:physiology
chemical_list: D000305:Adrenal Cortex Hormones; D000777:Anesthetics; D007166:Immunosuppressive Agents; D009466:Neuromuscular Blocking Agents