Open AccessThe role of intraoperative pulmonary arterial catheterization data in determining the need for extracorporeal membrane oxygenation in lung transplantation
Author(s) -
Pınar Karaca Baysal,
Atakan Erkılınç,
Mustafa Emre Gürcü
Publication year - 2021
Publication title -
türk göğüs kalp damar cerrahisi dergisi :/türk göğüs kalp damar cerrahisi dergisi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.149
H-Index - 10
eISSN - 2149-8156
pISSN - 1301-5680
DOI - 10.5606/tgkdc.dergisi.2021.20485
Subject(s) - extracorporeal membrane oxygenation , medicine , pulmonary wedge pressure , pulmonary artery , vascular resistance , lung transplantation , cardiology , extracorporeal , transplantation , perioperative , oxygenation , cardiac index , anesthesia , central venous pressure , lung , cardiac output , surgery , hemodynamics , blood pressure , heart rate
Background: This study aims to investigate predictive factors of identification of the need of patients for extracorporeal membrane oxygenation support during lung transplantation. Methods: A total of 63 patients (49 males, 14 females, mean age: 44.9±14.4 years; range, 14 to 64 years) who underwent lung transplantation in our institution between December 2016 and December 2019 were retrospectively analyzed. Demographic characteristics and perioperative clinical data of patients were recorded. After induction and pulmonary artery catheterization, cardiac output, mean pulmonary artery pressure, pulmonary capillary wedge pressure, cardiac index, pulmonary vascular resistance, systemic vascular resistance, and right atrial pressure were measured using the thermodilution technique. Results: Thirty-three of the patients received extracorporeal membrane oxygenation support during surgery. The right atrial pressure (p 39 mmHg (p 12 mmHg (p<0.047) were independent risk factors for ECMO support intraoperatively during lung transplantation. Conclusion: Predicting the need of intraoperative extracorporeal membrane oxygenation support is of utmost importance in timing the need for mechanical support, protecting the new graft from high mechanical ventilator pressures, and adequately maintaining hemodynamic stability.