Update in lung transplantation: anesthetic considerations.

Autor:	Fritz AV; Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL, USA., Teixeira MT; Division of Critical Care, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA., Patel SJ; Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA., Burtoft M; Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA., Martin AK; Division of Cardiovascular and Thoracic Anesthesiology, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, FL, USA.
Jazyk:	angličtina
Zdroj:	Annals of translational medicine [Ann Transl Med] 2023 Oct 25; Vol. 11 (11), pp. 389. Date of Electronic Publication: 2023 Jul 06.
DOI:	10.21037/atm-22-4602
Abstrakt:	The field of lung transplantation (LTx) has expanded rapidly since its inception in the early 1960s with the work of James Hardy and colleagues at the University of Mississippi from the work of local single specialty physicians into an international multidisciplinary specialty. Advancements throughout the next several decades have led to the completion of over 70,000 lung transplants worldwide. The unique challenges presented by patients with end-stage lung disease have both evolved and remained consistent since then, yet these challenges are being answered with major improvements and advancements in perioperative care in the 21st century. The current practice of LTx medicine is fundamentally multidisciplinary, and members of the LTx team includes surgeons, physicians, and allied health staff. The integration of anesthesiologists into the LTx team as well as the multidisciplinary nature of LTx necessitates anesthetic considerations to be closely incorporated into emerging surgical, medical, and systems techniques for patient care. This review discusses a host of emerging strategies across the spectrum of LTx, including efforts to expand the donor pool, utilization of perioperative extracorporeal life support, perioperative echocardiography, and anesthetic techniques to mitigate primary graft dysfunction that have all contributed to improved long term outcomes in LTx patients. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://atm.amegroups.com/article/view/10.21037/atm-22-4602/coif). The series “Highlights in Anesthesia and Critical Care Medicine” was commissioned by the editorial office without any funding or sponsorship. AKM is on the Scientific Advisory Board for Attgeno AB, and all compensation goes to Mayo Clinic. The authors have no other conflicts of interest to declare. (2023 Annals of Translational Medicine. All rights reserved.)
Databáze:	MEDLINE
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