Difference between revisions of "Lung transplant"

From WikiAnesthesia
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{{Infobox surgical procedure
{{Infobox surgical procedure
| anesthesia_type = GA
| anesthesia_type = GA +/- epidural
| airway = DLT, left sided
| airway = DLT, left sided
| lines_access = large bore IVs, central access (volume and infusion lines)
| lines_access = large bore IVs, central access (volume and infusion lines)

Revision as of 03:35, 7 January 2023

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

Article quality
Editor rating
In development
User likes
0

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

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants

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

References