University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Semin Cardiothorac Vasc Anesth. 2021 Jun;25(2):120-127. doi: 10.1177/10892532211007636. Epub 2021 Apr 14.
The year 2020 was a monumental year in medicine, and this review focuses on selected articles for cardiothoracic anesthesiologists and perioperative physicians involved in the care of heart and lung transplant patients. In the field of lung transplantation, significant strides were made in our knowledge of risk stratification during the preoperative assessment of potential recipients, perioperative transfusion medicine, and the administration of coagulation factor concentrates. In addition, variations in perioperative management and outcomes between institutions were studied across an assortment of metrics regarding lung transplantation, including case volumes and anesthetic practices. Transitioning to topics in the field of heart transplantation, consideration was given to recipients with adult congenital heart disease, and separately, approaches to expanding the donor pool through donation after circulatory death. With regard to preoperative support, outcomes for the total artificial heart as well as the MitraClip as bridges to transplantation were published.
2020 年是医学领域具有里程碑意义的一年，本综述重点关注了一些针对参与心肺移植患者治疗的心胸麻醉师和围手术期医师的选定文章。在肺移植领域，我们在潜在受者术前评估、围手术期输血医学和凝血因子浓缩物给药等方面的风险分层知识方面取得了重大进展。此外，还研究了不同机构之间在各种肺移植相关指标（包括病例量和麻醉实践）方面的围手术期管理和结果的差异。接下来转向心脏移植领域的话题，考虑了患有成人先天性心脏病的受者，以及通过循环死亡后捐献来扩大供体库的方法。关于术前支持，发表了全人工心脏和 MitraClip 作为移植桥的结果。
