Fessler Julien, Finet Michaël, Fischler Marc, Le Guen Morgan
Department of Anesthesiology and Pain Management, Hospital Foch, 92150 Suresnes, France.
University Versailles-Saint-Quentin-en-Yvelines, 78000 Versailles, France.
Life (Basel). 2022 Dec 28;13(1):92. doi: 10.3390/life13010092.
The management of lung transplant patients has continued to evolve in recent years. The year 2021 was marked by the publication of the International Consensus Recommendations for Anesthetic and Intensive Care Management of Lung Transplantation. There have been major changes in lung transplant programs over the last few years. This review will summarize the knowledge in anesthesia management of lung transplantation with the most recent data. It will highlight the following aspects which concern anesthesiologists more specifically: (1) impact of COVID-19, (2) future of transplantation for cystic fibrosis patients, (3) hemostasis management, (4) extracorporeal membrane oxygenation management, (5) early prediction of primary graft dysfunction, and (6) pain management.
近年来,肺移植患者的管理持续发展。2021年,《肺移植麻醉与重症监护管理国际共识推荐》发布。在过去几年中,肺移植项目发生了重大变化。本综述将用最新数据总结肺移植麻醉管理方面的知识。它将特别强调麻醉医生更关注的以下几个方面:(1)新冠病毒病(COVID-19)的影响;(2)囊性纤维化患者移植的未来;(3)止血管理;(4)体外膜肺氧合管理;(5)原发性移植功能障碍的早期预测;(6)疼痛管理。