Conacher I D
Department of Anaesthesia, Freeman Hospital, Newcastle upon Tyne.
Br J Anaesth. 1988 Oct;61(4):468-74. doi: 10.1093/bja/61.4.468.
Some recipients of isolated, orthotopic lung transplants have now survived to leave hospital with greatly improved quality of life. Inevitably, the successful demonstration of the feasibility of these operations means that transplant centres throughout the world may wish to participate in a lung transplant programme. The indications and preparations for, and some of the implications of, these operations are discussed and some of the relevant literature, pertaining to perioperative anaesthetic management, reviewed. Successful transplantation has vindicated the policy that anaesthesia for these patients can be managed with methods conventional for pulmonary resection, and without resort to cardiopulmonary bypass. Key operative points highlighted, and management factors, based on practical experience, are suggested to provide guidelines for the benefit of those anaesthetists who may be involved in lung transplantation.
一些接受孤立性原位肺移植的患者现已存活出院，生活质量得到显著改善。不可避免的是，这些手术可行性的成功证明意味着世界各地的移植中心可能希望参与肺移植项目。本文讨论了这些手术的适应症、准备工作以及一些影响，并回顾了一些与围手术期麻醉管理相关的文献。成功的移植证明了这样的策略是正确的，即这些患者的麻醉可以采用常规肺切除术的方法进行管理，而无需体外循环。文中突出了关键手术要点，并根据实际经验提出了管理因素，为可能参与肺移植的麻醉医生提供指导。
