Postoperative Management of Lung Transplant Recipients in the Intensive Care Unit

被引：22

作者：

Di Nardo, Matteo ^{[1
,2
]}

Tikkanen, Jussi ^{[2
]}

Husain, Shahid ^{[2
]}

Singer, Lianne G. ^{[2
]}

Cypel, Marcelo ^{[2
]}

Ferguson, Niall D. ^{[3
]}

Keshavjee, Shaf ^{[2
]}

Del Sorbo, Lorenzo ^{[2
,3
]}

机构：

[1] Bambino Gesu Pediat Hosp, Hospitalizat & Healthcare, Sci Inst Res, Pediat Intens Care Unit, Rome, Italy

[2] Univ Toronto, Univ Hlth Network, Toronto Lung Transplant Program, Toronto Gen Hosp, Toronto, ON, Canada

[3] Univ Toronto, Univ Hlth Network, Interdept Div Crit Care Med, Toronto, ON, Canada

来源：

ANESTHESIOLOGY | 2022年 / 136卷 / 03期

关键词：

EXTRACORPOREAL MEMBRANE-OXYGENATION; PRIMARY GRAFT DYSFUNCTION; CONSENSUS GROUP STATEMENT; CLINICAL-PRACTICE GUIDELINE; ISHLT WORKING GROUP; MECHANICAL VENTILATION; INTERNATIONAL SOCIETY; RISK-FACTORS; ADULT LUNG; NEUROLOGIC COMPLICATIONS;

D O I：

10.1097/ALN.0000000000004054

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The number of lung transplantations is progressively increasing worldwide, providing new challenges to interprofessional teams and the intensive care units. The outcome of lung transplantation recipients is critically affected by a complex interplay of particular pathophysiologic conditions and risk factors, knowledge of which is fundamental to appropriately manage these patients during the early postoperative course. As high-grade evidence-based guidelines are not available, the authors aimed to provide an updated review of the postoperative management of lung transplantation recipients in the intensive care unit, which addresses six main areas: (1) management of mechanical ventilation, (2) fluid and hemodynamic management, (3) immunosuppressive therapies, (4) prevention and management of neurologic complications, (5) antimicrobial therapy, and (6) management of nutritional support and abdominal complications. The integrated care provided by a dedicated multidisciplinary team is key to optimize the complex postoperative management of lung transplantation recipients in the intensive care unit.

引用

页码：482 / 499

页数：18

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