Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, ON, Canada.
Department of Thoracic Surgery, Toronto General Hospital, Toronto, ON, Canada.
J Cardiothorac Vasc Anesth. 2019 Jul;33(7):1995-2006. doi: 10.1053/j.jvca.2018.10.007. Epub 2018 Oct 10.
Lung transplantation has become an accepted therapy for most causes of end-stage lung disease. Between 30 to 50% of lung transplants require extracorporeal life support (ECLS). In many lung transplantation centers, extracorporeal membrane oxygenation (ECMO) is replacing cardiopulmonary bypass (CPB) as the primary choice for intraoperative ECLS. This review will discuss the evolving role of ECMO in lung transplantation and its implications for anesthetic management.
肺移植已成为治疗大多数终末期肺病的一种公认疗法。在肺移植中，有 30%到 50%需要体外生命支持（ECLS）。在许多肺移植中心，体外膜氧合（ECMO）正在取代心肺旁路（CPB），成为术中 ECLS 的首选。这篇综述将讨论 ECMO 在肺移植中的作用以及对麻醉管理的影响。
