Lung transplantation: Procedure and postoperative management
- Marcelo Cypel, MD, MSc
Marcelo Cypel, MD, MSc
- Assistant Professor, Division of Thoracic Surgery
- University of Toronto
- Tom Waddell, MD, MSc, PhD, FRCS, FACS
Tom Waddell, MD, MSc, PhD, FRCS, FACS
- Professor, Division of Thoracic Surgery
- University of Toronto
- Shaf Keshavjee, MD, MSc, FRCSC, FACS
Shaf Keshavjee, MD, MSc, FRCSC, FACS
- Professor, Division of Thoracic Surgery
- University of Toronto
Lung transplantation has become an increasingly important mode of therapy for patients with a variety of end-stage lung diseases [1,2]. Five types of transplant procedures are generally available:
●Single lung transplantation (SLT)
●Bilateral lung transplantation (BLT)
●Cadaveric lobar transplants (CLT)
●Transplantation of lobes from living related donorsTo continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- OVERVIEW OF THE PROCEDURE
- Single lung transplantation
- Bilateral lung transplantation
- Living donor lobar transplantation
- Cadaveric lobar transplants
- Heart-lung transplantation
- TECHNICAL CONSIDERATIONS
- Bronchial anastomosis
- Extracorporeal cardiorespiratory support
- - Indications
- - Choice of modality
- POSTOPERATIVE MANAGEMENT
- Ventilatory support and weaning
- Fluid management
- Management of primary graft dysfunction
- Chest tube management
- Initiation of immunosuppression
- Infection prophylaxis
- Prevention of venous thromboembolism
- Nutritional support and stress ulcer prophylaxis
- MONITORING AND FOLLOW-UP AFTER DISCHARGE
- Lung function
- Flexible bronchoscopy
- Maintenance immunosuppression
- Choice of procedure
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS