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Anaesthesia for heart–lung transplantation 

Anaesthesia for heart–lung transplantation
Anaesthesia for heart–lung transplantation

Marcin Wąsowicz

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date: 22 October 2019

Combined heart–lung transplantation is a procedure that should be performed only for selected cases in specialized centres which possess expertise in both cardiac and thoracic anaesthesia and surgery. This chapter briefly describes the important perioperative considerations and management. Since there is minimal literature describing the anaesthetic management for combined heart–lung transplantation, the aforementioned recommendations are based on the experience and clinical practice developed in the institution where the author works. This chapter reviews the following keypoints: a combined heart–lung transplantation procedure is rarely performed, and it is carried out only within highly specialized centres;most of these centres perform two to three transplantations a year, and therefore the available literature is very limited;anaesthesiologists responsible for the perioperative care of these patients must have extensive expertise in both cardiac and thoracic anaesthesia; andproficiency in transoesophageal echocardiography and bronchoscopy is also mandatory.

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