Anesthesia of lung transplant recipients_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

TANG Xisha , YANG Man , ZENG Jun ,  YU Hai

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YU Hai, Email: yuhai@scu.edu.cn

Keywords：

Lung transplantation; lung protective ventilation; hemodynamics; extracorporeal membrane oxygenation; postoperative analgesia

DOI：

10.7507/1671-6205.202208028

Video：

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[Abstract ]The number of lung transplantation is gradually increasing worldwide, which brings new challenges to the multi-disciplinary team of lung transplantation. The prognosis of lung transplant recipients is seriously affected by the pathophysiological state of specific lung diseases and perioperative risk factors. It is of great significance for these patients to optimize perioperative management according to these factors. Recently, several expert consensus have been published regarding anesthesia management of lung transplantation. Based on the current evidence and clinical practice of West China Hospital, this review summarizes the key points of anesthesia management for lung transplant recipients to guide anesthesiologists' clinical practice.

Citation： TANG Xisha, YANG Man, ZENG Jun, YU Hai. Anesthesia of lung transplant recipients. Chinese Journal of Respiratory and Critical Care Medicine, 2022, 21(8): 546-549. doi: 10.7507/1671-6205.202208028 Copy

1.	Murray AW, Boisen ML, Fritz A, et al. Anesthetic considerations in lung transplantation: past, present and future. J Thorac Dis, 2021, 13(11): 6550-6563.
2.	Marczin N, de Waal EEC, Hopkins PMA, et al. International Consensus Recommendations for Anesthetic and Intensive Care Management of Lung Transplantation. An EACTAIC, SCA, ISHLT, ESOT, ESTS, and AST Approved Document. J Heart Lung Transplant, 2021, 40(11): 1327-1348.
3.	Castleberry AW, Englum BR, Snyder LD, et al. The utility of preoperative six-minute-walk distance in lung transplantation. Am J Respir Crit Care Med, 2015, 192(7): 843-852.
4.	Osho A, Mulvihill M, Lamba N, et al. Is functional independence associated with improved long-term survival after lung transplantation?. Ann Thorac Surg, 2018, 106(1): 79-84.
5.	Bottiger BA, Nicoara A, Snyder LD, et al. Frailty in the end-stage lung disease or heart failure patient: implications for the perioperative transplant clinician. J Cardiothorac Vasc Anesth, 2019, 33(5): 1382-1392.
6.	Prabhu M, Valchanov K. Pre-anaesthetic evaluation of the patient with end-stage lung disease. Best Pract Res Clin Anaesthesiol, 2017, 31(2): 249-260.
7.	Di Nardo M, Tikkanen J, Husain S, et al. Postoperative management of lung transplant recipients in the intensive care unit. Anesthesiology, 2022, 136(3): 482-499.
8.	Spellman J, Sutherland L. 43 Lung Transplantation//Cohen E. Cohen's Comprehensive Thoracic Anesthesia. Amsterdam: Elsevier, 2022, 623-648.
9.	中华医学会麻醉学分会“肺移植术麻醉管理专家共识”工作小组. 肺移植术麻醉管理专家共识. 中华麻醉学杂志, 2020, 40(7): 771-778.
10.	Sumler M, Vadlamudi R. Preanesthetic evaluation of the patient with end-stage heart failure. Best Pract Res Clin Anaesthesiol, 2017, 31(2): 179-188.
11.	Shah PR, Boisen ML, Winger DG, et al. Extracorporeal support during bilateral sequential lung transplantation in patients with pulmonary hypertension: risk factors and outcomes. J Cardiothorac Vasc Anesth, 2017, 31(2): 418-425.
12.	Sellers D, Cassar-Demajo W, Keshavjee S, et al. The evolution of anesthesia for lung transplantation. J Cardiothorac Vasc Anesth, 2017, 31(3): 1071-1079.
13.	Tan ZH, Roscoe A, Rubino A. Transesophageal echocardiography in heart and lung transplantation. J Cardiothorac Vasc Anesth, 2019, 33(6): 1548-1558.
14.	Abrams BA, Melnyk V, Allen WL, et al. TEE for lung transplantation: a case series and discussion of vascular complications. J Cardiothorac Vasc Anesth, 2020, 34(3): 733-740.
15.	Iyer MH, Bhatt A, Kumar N, et al. Transesophageal echocardiography for lung transplantation: a new standard of care?. J Cardiothorac Vasc Anesth, 2020, 34(3): 741-743.
16.	Evans A, Dwarakanath S, Hogue C, et al. Intraoperative echocardiography for patients undergoing lung transplantation. Anesth Analg, 2014, 118(4): 725-730.
17.	Murray AW, Quinlan JJ. Chapter 19 - Anesthesia for Heart, Lung, and Heart-Lung Transplantation//Kaplan JA. Kaplan's Essentials of Cardiac Anesthesia (Second Edition). Amsterdam: Elsevier, 2018, 473-503.
18.	Nicoara A, Anderson-Dam J. Anesthesia for lung transplantation. Anesthesiol Clin, 2017, 35(3): 473-489.
19.	Geube MA, Perez-Protto SE, McGrath TL, et al. Increased intraoperative fluid administration is associated with severe primary graft dysfunction after lung transplantation. Anesth Analg, 2016, 122(4): 1081-1088.
20.	Cernak V, Oude Lansink-Hartgring A, van den Heuvel ER, et al. Incidence of massive transfusion and overall transfusion requirements during lung transplantation over a 25-year period. J Cardiothorac Vasc Anesth, 2019, 33(9): 2478-2486.
21.	Abrams D, Brodie D, Arcasoy SM. Extracorporeal life support in lung transplantation. Clin Chest Med, 2017, 38(4): 655-666.
22.	陆承, 张亚军. 体外膜肺氧合在肺移植中的应用. 中日友好医院学报, 2018, 32(4): 37-40.
23.	胡春晓, 王志萍, 许波, 等. 肺移植术的围术期管理. 中华麻醉学杂志, 2019, 39(5): 517-521.
24.	Gelzinis TA. An update on postoperative analgesia following lung transplantation. J Cardiothorac Vasc Anesth, 2018, 32(6): 2662-2664.

1. Murray AW, Boisen ML, Fritz A, et al. Anesthetic considerations in lung transplantation: past, present and future. J Thorac Dis, 2021, 13(11): 6550-6563.
2. Marczin N, de Waal EEC, Hopkins PMA, et al. International Consensus Recommendations for Anesthetic and Intensive Care Management of Lung Transplantation. An EACTAIC, SCA, ISHLT, ESOT, ESTS, and AST Approved Document. J Heart Lung Transplant, 2021, 40(11): 1327-1348.
3. Castleberry AW, Englum BR, Snyder LD, et al. The utility of preoperative six-minute-walk distance in lung transplantation. Am J Respir Crit Care Med, 2015, 192(7): 843-852.
4. Osho A, Mulvihill M, Lamba N, et al. Is functional independence associated with improved long-term survival after lung transplantation?. Ann Thorac Surg, 2018, 106(1): 79-84.
5. Bottiger BA, Nicoara A, Snyder LD, et al. Frailty in the end-stage lung disease or heart failure patient: implications for the perioperative transplant clinician. J Cardiothorac Vasc Anesth, 2019, 33(5): 1382-1392.
6. Prabhu M, Valchanov K. Pre-anaesthetic evaluation of the patient with end-stage lung disease. Best Pract Res Clin Anaesthesiol, 2017, 31(2): 249-260.
7. Di Nardo M, Tikkanen J, Husain S, et al. Postoperative management of lung transplant recipients in the intensive care unit. Anesthesiology, 2022, 136(3): 482-499.
8. Spellman J, Sutherland L. 43 Lung Transplantation//Cohen E. Cohen's Comprehensive Thoracic Anesthesia. Amsterdam: Elsevier, 2022, 623-648.
9. 中华医学会麻醉学分会“肺移植术麻醉管理专家共识”工作小组. 肺移植术麻醉管理专家共识. 中华麻醉学杂志, 2020, 40(7): 771-778.
10. Sumler M, Vadlamudi R. Preanesthetic evaluation of the patient with end-stage heart failure. Best Pract Res Clin Anaesthesiol, 2017, 31(2): 179-188.
11. Shah PR, Boisen ML, Winger DG, et al. Extracorporeal support during bilateral sequential lung transplantation in patients with pulmonary hypertension: risk factors and outcomes. J Cardiothorac Vasc Anesth, 2017, 31(2): 418-425.
12. Sellers D, Cassar-Demajo W, Keshavjee S, et al. The evolution of anesthesia for lung transplantation. J Cardiothorac Vasc Anesth, 2017, 31(3): 1071-1079.
13. Tan ZH, Roscoe A, Rubino A. Transesophageal echocardiography in heart and lung transplantation. J Cardiothorac Vasc Anesth, 2019, 33(6): 1548-1558.
14. Abrams BA, Melnyk V, Allen WL, et al. TEE for lung transplantation: a case series and discussion of vascular complications. J Cardiothorac Vasc Anesth, 2020, 34(3): 733-740.
15. Iyer MH, Bhatt A, Kumar N, et al. Transesophageal echocardiography for lung transplantation: a new standard of care?. J Cardiothorac Vasc Anesth, 2020, 34(3): 741-743.
16. Evans A, Dwarakanath S, Hogue C, et al. Intraoperative echocardiography for patients undergoing lung transplantation. Anesth Analg, 2014, 118(4): 725-730.
17. Murray AW, Quinlan JJ. Chapter 19 - Anesthesia for Heart, Lung, and Heart-Lung Transplantation//Kaplan JA. Kaplan's Essentials of Cardiac Anesthesia (Second Edition). Amsterdam: Elsevier, 2018, 473-503.
18. Nicoara A, Anderson-Dam J. Anesthesia for lung transplantation. Anesthesiol Clin, 2017, 35(3): 473-489.
19. Geube MA, Perez-Protto SE, McGrath TL, et al. Increased intraoperative fluid administration is associated with severe primary graft dysfunction after lung transplantation. Anesth Analg, 2016, 122(4): 1081-1088.
20. Cernak V, Oude Lansink-Hartgring A, van den Heuvel ER, et al. Incidence of massive transfusion and overall transfusion requirements during lung transplantation over a 25-year period. J Cardiothorac Vasc Anesth, 2019, 33(9): 2478-2486.
21. Abrams D, Brodie D, Arcasoy SM. Extracorporeal life support in lung transplantation. Clin Chest Med, 2017, 38(4): 655-666.
22. 陆承, 张亚军. 体外膜肺氧合在肺移植中的应用. 中日友好医院学报, 2018, 32(4): 37-40.
23. 胡春晓, 王志萍, 许波, 等. 肺移植术的围术期管理. 中华麻醉学杂志, 2019, 39(5): 517-521.
24. Gelzinis TA. An update on postoperative analgesia following lung transplantation. J Cardiothorac Vasc Anesth, 2018, 32(6): 2662-2664.

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