Lung Transplantation

  • Andrew RoscoeEmail author
  • Rebecca Y. Klinger


Preoperative evaluation of the lung transplant recipient allows for optimal planning of intraoperative ventilation, hemodynamic support, and the need for extracorporeal support. Careful induction of anesthesia is required to avoid acute right ventricular failure and cardiovascular collapse, and transesophageal echocardiography is invaluable in the diagnosis of hemodynamic instability. The increasing perioperative use of extracorporeal membrane oxygenation bestows new challenges on the anesthesiologist, in terms of hemodynamic, anticoagulation, and fluid management. Early postoperative extubation is feasible, and reduction in early complications confers a long-term survival benefit.


Donor organ End-stage lung disease Extracorporeal support Lung transplantation Right ventricular failure 

Supplementary material


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of AnesthesiaPapworth HospitalCambridgeUK
  2. 2.Department of AnesthesiologyDuke University Medical CenterDurhamUSA

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