Myles Paul S, Snell Greg I, Westall Glen P
Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne, Australia.
Curr Opin Anaesthesiol. 2007 Feb;20(1):21-6. doi: 10.1097/ACO.0b013e328013da0f.
To describe recent advances in lung transplantation relevant to anesthesiologists.
There is recent literature describing medical, surgical, anesthetic and critical care of lung transplant recipients.
There have been substantial changes in preoperative selection and preparation of lung transplant recipients; these include donation after cardiac death, and improved lung-preservation solutions. Newer immunosuppression regimens have been successfully evaluated in clinical trials. Particular advances in anesthesia include endorsement of fluid restriction in thoracic surgery, greater use of transesophageal echocardiography, and postoperative extracorporeal membrane oxygenation.
描述与麻醉医生相关的肺移植近期进展。
近期有文献描述了肺移植受者的医学、外科、麻醉及重症监护情况。
肺移植受者的术前选择和准备有了重大变化；这些变化包括心脏死亡后的器官捐献，以及改良的肺保存液。新的免疫抑制方案已在临床试验中得到成功评估。麻醉方面的特别进展包括胸外科手术中支持限制液体摄入、更多地使用经食管超声心动图，以及术后体外膜肺氧合。
