Lung transplant
From WikiAnesthesia
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 | |
| User likes | 0 |
A lung transplant, or bilateral orthotopic lung transplantation (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
Top contributors: Gang Chen, Mitchel DeVita, Tony Wang and Chris Rishel