Nicoara Alina, Anderson-Dam John
Division of Cardiothoracic Anesthesia, Department of Anesthesiology, Duke University Medical Center, 2301 Erwin Road, HAFS Building, Box 3094, Durham, NC 27710, USA.
Department of Anesthesiology and Perioperative Medicine, Ronald Reagan UCLA Medical Center, David Geffen School of Medicine, University of California, 757 Westwood Boulevard, Suite 3325, Los Angeles, CA 90095, USA.
Anesthesiol Clin. 2017 Sep;35(3):473-489. doi: 10.1016/j.anclin.2017.05.003. Epub 2017 Jul 5.
Perioperative management of patients undergoing lung transplantation is challenging and requires constant communication among the surgical, anesthesia, perfusion, and nursing teams. Although all aspects of anesthetic management are important, certain intraoperative strategies (mechanical ventilation, fluid management, extracorporeal mechanical support deployment) have tremendous impact on the subsequent evolution of the lung transplant recipient, especially with respect to allograft function, and should be carefully considered. This review highlights some of the intraoperative anesthetic challenges and opportunities during lung transplantation.
肺移植患者的围手术期管理具有挑战性，需要外科、麻醉、灌注和护理团队之间持续沟通。尽管麻醉管理的各个方面都很重要，但某些术中策略（机械通气、液体管理、体外机械支持的应用）对肺移植受者的后续病情发展有巨大影响，尤其是在移植肺功能方面，应予以仔细考虑。本综述重点介绍了肺移植术中一些麻醉方面的挑战与机遇。
