Tasty Morsels of Critical Care Tasty Morsels of Critical Care 038 | Lung Transplantation
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Apr 26, 2021 Dive into the fascinating world of lung transplantation! Learn about survival rates, the complexities of patient selection, and the unique role of ECMO as a bridge. Discover the latest in ex vivo lung perfusion and delve into respiratory challenges faced post-transplant. Unpack the concerns of right heart response and the risks of infection in donor pairs. The discussion also sheds light on surgical complications and post-transplant lymphoproliferative disorders. It's an engaging exploration filled with critical insights!
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Overall Survival Is Respectable
- Lung transplants show reasonable outcomes, likely due to careful recipient selection.
- Median survival is about seven years with ~80% one-year survival.
Select Patients Who Will Tolerate The Burden
- Consider lung transplant for advanced non-malignant disease when no alternatives remain.
- Ensure candidates can tolerate surgery, ICU care, and long-term immunosuppression before listing.
Expanding Donor Pool With New Techniques
- Donation after cardiac death is increasingly used and lungs tolerate short warm ischemia relatively well.
- Ex vivo lung perfusion lets clinicians assess and optimize marginal donor lungs before implanting.