How We Would Treat Our Own Lung Transplantation: A Multidisciplinary and International Perspective

被引:3
|
作者
Martin, Archer Kilbourne [1 ,8 ]
Reed, Anna Katja [2 ,3 ,4 ]
Hoetzenecker, Konrad [5 ]
Fessler, Julien [6 ,7 ]
机构
[1] Mayo Clin, Div Cardiovasc & Thorac Anesthesiol, Coll Med & Sci, Jacksonville, FL USA
[2] Guys & St Thomas NHS Fdn Trust, Royal Brompton Hosp, Harefield Hosp, Dept Cardiothorac Transplantat & Mech Support, London, England
[3] Harefield Hosp, Guys & St Thomas NHS Fdn Trust, Dept Cardiothorac Transplantat & Mech Support, London, England
[4] Imperial Coll, London, England
[5] Med Univ Vienna, Dept Thorac Surg, Vienna, Austria
[6] Hop Foch, Dept Anesthesiol, Suresnes, France
[7] Univ Versailles St Quentin en Yvelines, Versailles, France
[8] Mayo Clin, Div Cardiovasc & Thorac Anesthesiol, 4500 San Pablo Rd, Jacksonville, FL 32224 USA
关键词
lung transplantation; ECMO; multidisciplinary team; prehabilitation; analgesia; enhanced recovery; end-stage lung disease; EXTRACORPOREAL MEMBRANE-OXYGENATION; SINGLE-CENTER; CARDIOPULMONARY BYPASS; EPIDURAL ANALGESIA; GRAFT DYSFUNCTION; OUTCOMES; TRANSFUSION; PREDICTORS; EXTUBATION; RECIPIENTS;
D O I
10.1053/j.jvca.2023.07.042
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Lung transplantation is the ultimate treatment for end-stage lung disease (ESLD) arising from various etiologies. This manuscript will focus on selected aspects of a theoretical perioperative lung transplantation plan, highlighting data-driven and theoretical techniques the authors would employ if they were the index patient undergoing surgery. Beginning with looking for a transplant center using an Internet search, patient advocacy organizations, and artificial intelligence guidance, the authors lay out a course for multidisciplinary care throughout the entire patient journey, ending with ideal approaches to recovery 6 months posttransplantation. Although the index case will focus on a theoretical patient with pulmonary fibrosis, the general management principles will be applicable across the entire spectrum of patients with ESLD presenting for lung transplantation.(c) 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码:2207 / 2214
页数:8
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