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Lung Transplantation

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Principles and Practice of Anesthesia for Thoracic Surgery

Abstract

Preoperative assessment of the underlying diagnosis allows for optimal intraoperative ventilation settings. Preoxygenation and a smooth induction are essential to avoid pulmonary hypertensive crises and acute right ventricular failure. Transesophageal echocardiography is an invaluable tool in the diagnosis and management of intraoperative hemodynamic instability. A fluid restriction strategy is adopted to reduce the risk of low pressure pulmonary edema. Adequate postoperative analgesia is imperative to facilitate extubation, satisfactory sputum clearance, and early mobilization.

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  1. Department of Anesthesia, Toronto General Hospital, Toronto, ON, Canada

    Andrew Roscoe MB ChB, FRCA

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  1. University of Toronto, Staff Anesthesiologist, Professor of Anesthesia, Toronto, M5G 2C4, Ontario, Canada

    Peter Slinger, MD, FRCPC

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Roscoe, A. (2011). Lung Transplantation. In: Slinger, MD, FRCPC, P. (eds) Principles and Practice of Anesthesia for Thoracic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0184-2_37

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