Premium
Isolated lung transplantation for pulmonary fibrosis
Author(s) -
Conacher I. D.,
Dark J.,
Hilton C. J.,
Corris P.
Publication year - 1990
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1990.tb14635.x
Subject(s) - medicine , cardiopulmonary bypass , lung transplantation , lung , pulmonary fibrosis , intensive care medicine , respiratory failure , transplantation , heart lung transplantation , general anaesthesia , anesthesia , surgery
Summary The peri‐operative anaesthetic management of 11 patients with pulmonary fibrosis undergoing single‐lung transplantation is presented. Intra‐operative problems, the early postoperative phase of recovery and intensive care, and other incidents in which general anaesthesia was required for the management of complications, are featured. Results, both short‐ and long‐term, are mentioned. Major intra‐operative events that cause concern appear to be related to the severity of the presenting illness and the development of respiratory failure. Others have reported the development of intra‐operative cardiac failure. All cases were successfully managed operatively using conventional one‐lung anaesthesia, although resort to partial cardiopulmonary bypass may have been indicated in some. The indications and attitudes to utilising cardiopulmonary bypass in the evolution of techniques for facilitating single‐lung transplantation are reviewed.