Cardiopulmonary transplantation: an anaesthesia review

IF 0.2 Q4 ANESTHESIOLOGY Anaesthesia and Intensive Care Medicine Pub Date : 2024-03-06 DOI:10.1016/j.mpaic.2024.01.012
Vikrant Pathania, Gagan Preet Singh, Khaled Halawa
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Abstract

Transplantation is a definitive treatment of choice in suitable patients with end-stage organ failure. Approximately 5000 heart transplants and 4000 lung transplants are performed globally every year. Survival after heart transplant is almost twice in comparison to lung transplant. Due to deficiency in donor pool, number of patients on waiting list are increasing every year. Recipient selection should be done carefully as it massively impacts the outcome. Anaesthesia management for heart and lung transplant is quite demanding. In this article, we will review the various challenges encountered by an anaesthetist during the pre-, intra-, and postoperative period. The postoperative complications and its management will also be discussed briefly.

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心肺移植:麻醉回顾
器官移植是终末期器官衰竭患者的最终治疗选择。全球每年进行约 5000 例心脏移植和 4000 例肺部移植。心脏移植后的存活率几乎是肺移植的两倍。由于供体库不足,等待移植的患者人数逐年增加。受体的选择应慎之又慎,因为这对结果有重大影响。心脏和肺移植的麻醉管理要求很高。在本文中,我们将回顾麻醉师在术前、术中和术后遇到的各种挑战。我们还将简要讨论术后并发症及其处理。
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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
152
期刊介绍: Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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Editorial Board Contents Medical gases Spinal anaesthesia Premedication
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