Show Summary Details
Page of

Lung transplantation 

Lung transplantation
Lung transplantation

Derek Rosen

, Marcelo Cypel

, and Peter D. Slinger

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 04 August 2020

The number of lung transplantations performed each year continues to increase and the short- and long-term survivals for recipients continue to improve. As a corollary, more patients with significant comorbidities, such as cardiac and liver disease, are now accepted for lung transplantation and the complexity of their anaesthetic management continues to increase. Fundamental to managing these patients is an understanding of the different pathophysiologies and intraoperative complications which are specific to the various types of recipients: emphysema vs cystic fibrosis vs pulmonary fibrosis vs primary pulmonary hypertension, etc. Better donor-lung preservation techniques and conditioning strategies such as ex-vivo perfusion have decreased the incidence of early transplant-reperfusion injury during surgery. Current trends such as the increased use of intraoperative transoesophageal echocardiography and extracorporeal membrane oxygenation have helped in the management of intraoperative cardiac instability and severe gas exchange problems.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.