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Anesthesia for Heart and Lung Transplantation

  • Blaine E. Farmer
  • Igor O. Zhukov
Chapter

Abstract

The evolution of surgical technique and immunosuppression medications during the last half-century resulted in heart and lung transplantation becoming increasingly more common. While these life-saving procedures offer improved survival and quality of life, there are many challenges that need to be mitigated in order to realize these potential benefits. Advanced stage of primary disease, co-morbid conditions, and deconditioning are several factors that may place the recipient at risk of primary graft dysfunction, perioperative complications, and prolonged hospital course. In this chapter, we will review the underlying principles of anesthetic management that can contribute to successful outcomes for these complex operations. Tables 4.4 and 4.5 provide a summary of the considerations during heart and lung transplantation.

Keywords

Heart transplantation Lung transplantation Transplant anesthesia Primary graft dysfunction Ischemia-reperfusion injury Right ventricular failure 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of AnesthesiologyEmory University School of MedicineAtlantaUSA
  2. 2.University of WisconsinMadisonUSA

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