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Seminars in Cardiothoracic and Vascular Anesthesia
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Aspects of Anesthesia for Lung Transplantation

Paul S. Myles

Department of Anaesthesia and Pain Management, Alfred Hospital, Melbourne, Australia

Anesthesia for lung transplantation is both a demand ing and rewarding experience. Success requires team- work, experience, knowledge of cardiorespiratory patho physiology and its anesthetic implications, appropriate use of noninvasive and invasive monitoring, and the ability to respond quickly and effectively to life- threatening perioperative events. Specific issues in clude management of a patient with end-stage lung and heart disease, lung isolation and one-lung ventilation, perioperative respiratory failure, pulmonary hyperten sion, and acute right ventricular failure. Recent ad vances include greater understanding of dynamic hyper inflation ("gas-trapping") during mechanical ventilation, perioperative use of inhaled nitric oxide and treatment of acute right ventricular failure. Successful anesthetic management leads to greater hemodynamic stability, improvement in gas exchange and a reduction in need for cardiopulmonary bypass, all of which should lead to improved patient outcome.

Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 2, No. 2, 140-154 (1998)
DOI: 10.1177/108925329800200207
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Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
A. Miranda, R. Zink, and M. McSweeney
Anesthesia for Lung Transplantation
Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2005; 9(3): 205 - 212.
[Abstract] [PDF]


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