肺移植术后肺移植物的围手术期管理
Perioperative Management of the Lung Graft Following Lung Transplantation.
作者信息
Geube Mariya, Anandamurthy Balaram, Yared Jean-Pierre
机构信息
Department of Cardiothoracic Anesthesiology, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland Clinic, 9500 Euclid Avenue, J4-331, Cleveland, OH 44195, USA.
Department of Cardiothoracic Anesthesiology, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland Clinic, 9500 Euclid Avenue, J4-331, Cleveland, OH 44195, USA.
出版信息
Crit Care Clin. 2019 Jan;35(1):27-43. doi: 10.1016/j.ccc.2018.08.007. Epub 2018 Oct 26.
Perioperative management of patients undergoing lung transplantation is one of the most complex in cardiothoracic surgery. Certain perioperative interventions, such as mechanical ventilation, fluid management and blood transfusions, use of extracorporeal mechanical support, and pain management, may have significant impact on the lung graft function and clinical outcome. This article provides a review of perioperative interventions that have been shown to impact the perioperative course after lung transplantation.
肺移植患者的围手术期管理是心胸外科中最复杂的管理之一。某些围手术期干预措施，如机械通气、液体管理和输血、体外机械支持的使用以及疼痛管理，可能会对肺移植功能和临床结果产生重大影响。本文综述了已被证明会影响肺移植术后围手术期进程的围手术期干预措施。
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