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

Autor: Martin AK; Division of Cardiovascular and Thoracic Anesthesiology, Mayo Clinic College of Medicine and Science, Jacksonville, FL. Electronic address: martin.archer@mayo.edu., Reed AK; Department of Cardiothoracic Transplantation and Mechanical Support, Harefield Hospital, Royal Brompton & Harefield Hospitals, Part of Guy's and St. Thomas' NHS Foundation Trust & Imperial College, London, United Kingdom., Hoetzenecker K; Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria., Fessler J; Department of Anesthesiology, Hôpital Foch, Suresnes, France, and Université Versailles-Saint-Quentin-en-Yvelines, Versailles, France.
Jazyk: angličtina
Zdroj: Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2023 Nov; Vol. 37 (11), pp. 2207-2214. Date of Electronic Publication: 2023 Aug 03.
DOI: 10.1053/j.jvca.2023.07.042
Abstrakt: 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.
Competing Interests: Declaration of Competing Interest A.K.M. serves on the Scientific Advisory Board of Attgeno AB, with all consulting fees paid to Mayo Clinic.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE