Haddow G R
Department of Anesthesia, Stanford University Medical Center, CA 94305-5115, USA.
Can J Anaesth. 1997 Feb;44(2):182-97. doi: 10.1007/BF03013008.
The purpose of this article is to review the literature on post lung transplant patients presenting for surgery and anaesthesia and to provide insight into their perioperative management.
Articles and books were identified via a Medline search and through a review of the bibliographies of these sources.
Single and double lung transplantation is becoming more common and the period of survival is increasing. As a result, more of these patients are presenting for surgery and anaesthesia. Also, it is increasingly likely that these patients may present, either for emergency or elective surgery, to anaesthetists with limited experience in this field. These patients have considerable medical, physiological and pharmacological problems which need to be understood.
Anaesthesia, local, regional, or general, can be safely delivered to these patients provided that the physiology and pathophysiology of the transplanted lung, the pharmacology of the immunosuppressive agents, and the underlying surgical condition are understood.
本文旨在回顾有关肺移植术后患者接受手术和麻醉的文献，并深入探讨其围手术期管理。
通过医学文献数据库检索以及对这些文献来源的参考文献进行回顾来确定文章和书籍。
单肺移植和双肺移植越来越普遍，患者存活期也在延长。因此，越来越多此类患者需要接受手术和麻醉。此外，这些患者更有可能因急诊或择期手术而就诊于对此领域经验有限的麻醉医生。这些患者存在诸多医学、生理和药理学问题，需要加以了解。
只要了解移植肺的生理和病理生理、免疫抑制剂的药理学以及潜在的手术情况，局部麻醉、区域麻醉或全身麻醉都可安全用于这些患者。
