Lung transplant

Lung transplant

Anesthesia type	GA +/- epidural
Airway	DLT, left sided
Lines and access	large bore IVs, central access (volume and infusion lines)
Monitors	Standard, arterial line, CVP, +/- PA cath, TEE, neurooximetry
Primary anesthetic considerations
Preoperative	Usually significant oxygen requirement, possible RH disease
Intraoperative	Thoracic epidural, 1 lung ventilation w/ DLT (may require ECMO or bypass if not tolerated)
Postoperative	ICU, generally remain intubated
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Editor rating	In development
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A lung transplant, or bilateral orthotopic lung transplanation (BOLT), is a surgical procedure performed for patients with end stage pulmonary disease.

Preoperative management

Patient evaluation

System	Considerations
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Procedure variants

	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications