title: Anesthesia for Placement of a Paracorporeal Lung Assist Device and Subsequent Heart-Lung Transplantation in a Child with Suprasystemic Pulmonary Hypertension and End-Stage Respiratory Failure.
abstract: Pediatric patients with end-stage respiratory failure and pulmonary hypertension traditionally have poor outcomes when bridged with extracorporeal membrane oxygenation to lung or heart-lung transplantation. Therefore, several institutions have attempted paracorporeal lung assist devices as a bridge. However, given the small number of patients, little is known about approaches to anesthetic induction in these hemodynamically unstable patients either before placement of a device or anesthetic induction once a device is in situ. In this case report, we describe our anesthetic experience managing a 13-year-old boy for both paracorporeal lung assist device placement and subsequent heart-lung transplantation.
authors.affiliation: From the Departments of *Anesthesia, Perioperative and Pain Medicine, †Pediatrics, and ‡Surgery, Stanford University School of Medicine, Stanford, California.
authors.forename: Danton S
authors.initials: DS
authors.lastname: Char
authors.forename: Vamsi
authors.initials: V
authors.lastname: Yarlagadda
authors.forename: Katsuhide
authors.initials: K
authors.lastname: Maeda
authors.forename: Glyn
authors.initials: G
authors.lastname: Williams
mesh_terms: D000293:Adolescent; D000771:Anesthesia, Intravenous / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D016041:Heart-Lung Transplantation / Q000379:methods*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000601:surgery*