Abstract
The first isolated lung transplant occurred in 1963. Between then and 1980 some 40 procedures were carried out but the longest survivor lived only ten months after the transplant (1). Technically, the major obstacle to success was impaired healing of the bronchial anastomosis due to a poor post-implantation blood supply. Problems of infection and rejection hampered lung transplantation in common with that of other organs (2).
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Raffin TA (1988) Double lung transplantation for COPD: reversing the irreversible. Am Rev Respir Dis 139:301–302
Judson MA (1993) Clinical aspects of lung transplantation. Clin Chest Med 14:335–357
Cooper JD, Ginsberg RJ, Goldberg M et al (1986) Unilateral lung transplantation for pulmonary fibrosis. N Engl J Med 314:1140–1145
US Scientific Registry of Organ Transplantation and the Organ Procurement and Transplantation Network: Annual Report, 1990
Breen TJ, Keck B, Hosenpud JD et al (1992) Thoracic organ transplants in the United States from October 1987 through December 1991: a report from the UNOS Scientific Registry for Organ Transplants. Clin Transplants 33–43
Rothfield KP, Firestone S, Firestone LL (1994) Patient selection and outcomes for lung transplantation. Curr Opin Anaesthesiol 7:299–304
Egan TM, Kaiser LE, Cooper JD (1989) Lung transplantation. Curr Probi Surg 26:681–751
Patterson GA, Cooper JD, Dark JH et al (1988) Experimental and clinical double lung transplantation. J Thorac Cardiovasc Surg 95:70–74
Pasque MK, Trulock EP, Kaiser LR, Cooper JD (1991) Single-lung transplantation for pulmonary hypertension. Circulation 84:2275–2279
Patterson GA, Maurer JR, Williams TJ et al (1991) Comparison of outcomes of double and single lung transplantation for obstructive lung disease. J Thorac Cardiovasc Surg 101: 623–632
Wilhams TJ, Patterson GA, McClean PA et al (1992) Maximal exercise testing in single and double lung transplant recipients. Am Rev Respir Dis 145:101–105
Dark JH (1994) Lung transplantation. Transpl Proc 26:1708–1709
Paradis I, Manzetti J, Foust D et al (1993) When to refer for lung transplantation? Characteristics of candidates who die prior vs. those who survive to receive a transplant. Am Rev Respir Dis 147:A597
Goldsmith MF (1990) Mother to child: first living donor lung transplant. JAMA 264:2724
Egan TM, Boychuk JE, Rosato K et al (1992) Whence the lungs? A study to assess suitabihty of donor lungs for transplantation. Transplantation 53:420–422
Colice GL, Matthay MA, Bass E et al (1984) Neurogenic pulmonary edema. Am Rev Respir Dis 130:941–948
Harjula A, Starnes VA, Oyer PE et al (1987) Proper donor selection for heart-lung transplantation: the Stanford experience. J Thorac Cardiovasc Surg 94:874–880
Pickett JA, Wheeldon D, Oduro A (1994) Multi-organ transplantation donor management. Curr Opin Anaesthesiol 7:80–83
Freeman JW (1993) Donor selection and maintenance prior to multiorgan retrieval. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 671–683
Mackersie RC, Bronsther OL, Shackford SR (1991) Organ procurement in patients with fatal head injuries. Ann Surg 213:143–150
Sleiman C, Mai H, Dubois F et al (1992) Pulmonary reimplantation response in single lung transplantation. Am Rev Respir Dis 145:A305
Kaiser LR, Pasque MK, Trulock EP et al (1991) Bilateral sequential lung transplantation: the procedure of choice for double-lung replacement. Ann Thorac Surg 52:438–446
Kirk AJ, Colquhoun IW, Dark JH (1993) Lung preservation: a review of current practice and future directions. Ann Thorac Surg 56:990–1000
Novick RJ, Menkis A, McKenzie FN (1992) New trends in lung preservation: a collective review. J Heart Lung Transplant 11:377–392
Conacher ID (1988) Isolated lung transplantation: a review of problems and guide to anaesthesia. Br J Anaesth 61:468–474
Trintafillou AN, Heerdt PM (1991) Lung transplantation. Int Anesthesiol Chn 29:87–109
Wittnich C, Trudel J, Zidulka A, Chu-Jeng Chiù R (1986) Misleading “pulmonary wedge pressure” after pneumonectomy: its importance in postoperative fluid therapy. Ann Thorac Surg 41:192–196
Jardin F, Bourdarias JP (1995) Right heart catheterisation at bedside: a critical view. Intensive Care Med 21:291–295
Thomas BJ, Siegel LC (1991) Anesthetic and postoperative management of single-lung transplantation. J Cardiovasc Vase Anesth 5:266–267
Quinlan JJ, Buffmgton CW (1993) Deliberate hypoventilation in a patient with air trapping during lung transplantation. Anesthesiology 78:1177–1181
Gutierrez G, Pahzas F, Dogho G et al (1992) Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 339:196–199
Fiddian-Green RG, Baker S (1987) Predictive value of the stomach wall pH for complications after cardiac operations: comparison with other monitoring. Crit Care Med 15:153–156
Maynard N, Bihari D, Beale R et al (1993) Assessment of splanchnic oxygenation by gastric tonometry in patients with acute circulatory failure. JAMA 270:1203–1210
Triantafillou AN, Pond CG, Cerza RF et al (1993) Cardiopulmonary bypass requirements in lung transplant patients: the Washington University experience. Anesthesiology 79:A47
Firestone L, Carrera J, Firestone S, Rothfield K (1993) Single lung transplants: who needs bypass? Anesthesiology 79:A46
Rossi J, Bierman MI, Griffith BP (1995) Recent progress in lung transplantation. Curr Opin Crit Care 1:77–83
Patterson GA (1990) Double lung transplantation. Clin Chest Med 11:227–233
de Hoyos, Demajo W, Snell G et al (1993) Preoperative prediction for the use of cardiopulmonary bypass in lung transplantation. J Thorac Cardiovasc Surg 106:787–796
Tinker JH, Roberts SL (1989) Anaesthesia for cardiac surgery. In: Nunn JF, Utting JE, Brown BR (eds) General anaesthesia, 5th edn. Butterworths, London, pp 864–910
Sherry KM, Massey NJA, Moore NA, Blackburn A, Peacock JE (1991) Infusion induction and maintenance of hypnosis with propofol in patients presenting for cardiac surgery. In: Prys-Roberts C (ed). Focus on infusion. Current Medical Literature Ltd, London, pp 24–29
Bell J, Sartain J, Wilkinson GAL, Sherry KM (1994) Propofol and fentanyl anaesthesia for patients with low cardiac output state undergoing cardiac surgery: comparison with high-dose fentanyl anaesthesia. Br J Anaesth 73:162–166
Vaughan RS (1993) Double-lumen tubes. Br J Anaesth 70:497–498
Bardoczky GI, Levarlet M, Engelman E, Defrancquen P (1993) Continuous spirometry for detection of double-lumen endobronchial tube displacement. Br J Anaesth 70:499–502
Clapham MC, Vaughan RS (1985) Endobronchial intubarion. A comparison between polyvinylchloride and red rubber double lumen tubes. Anaesthesia 1111–1114
Conacher ID (1995) Prolonged interval jet ventilation. An alternative technique for patients with problematic cardiopulmonary pathophysiology. Anaesthesia 50:518–522
Higgins TL (1992) Pro: early extubation is preferable to late extubation in patients following coronary artery surgery. J Cardiothor Vase Anesth 6:488–493
Gall SA, Olsen CO, Reves JG et al (1988) Beneficial effects of endotracheal extubation on ventricular performance. J Thorac Cardiovasc Surg 95:819–827
Kirklin JK (1991) Prospects for understanding and eliminating the deleterious effects of cardiopulmonary bypass. Ann Thorac Surg 51:529–531
Johnson D, Thomson D, Hurst T et al (1994) Neutrophil-mediated acute lung injury after extracorporeal perfusion. J Thorac Cardiovasc Surg 107:1193–1202
Montravers P, Fagon JY, Gilbert C et al (1993) Pilot study of cardiopulmonary risk from pentoxifylline in adult respiratory distress syndrome. Chest 103:1017–1022
Kollef MH, Schuster DP (1995) The acute respiratory distress syndrome. N Engl J Med 322: 27–37
Shoemaker WC (1995) Invasive and noninvasive cardiopulmonary monitoring of acute circulatory dysfunction and shock. Curr Opin Crit Care 1:189–190
Conacher ID (1990) Pain rehef after thoracotomy. Br J Anaesth 65:806–812
George KA, Wright PMC, Chisakuta A (1991) Continuous thoracic epidural fentanyl for post-thoracotomy pain rehef: with or without bupivacaine? Anaesthesia 46:732–736
Morgan M (1989) The rational use of intrathecal and extradural opioids. Br J Anaesth 63: 165–188
Guinard J-P, Mavrocordatos P, Chiolero R, Carpenter RL (1992) A randomized comparison of intravenous versus lumbar and thoracic epidural fentanyl for analgesia after thoracotomy. Anesthesiology 77:1108–1115
Wotherspoon HA, Kenny GNC, McArdle CS (1991) Pain following thoracotomy. A randomised, double-blind comparison of lumbar versus thoracic epidural fentanyl. Anaesthesia 46:915–917
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag Italia, Milano
About this chapter
Cite this chapter
Little, J.P., Latimer, R.D. (1996). Lung Transplantation: Aspects of Anaesthetic and Early Postoperative Management. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2203-4_64
Download citation
DOI: https://doi.org/10.1007/978-88-470-2203-4_64
Publisher Name: Springer, Milano
Print ISBN: 978-3-540-75014-7
Online ISBN: 978-88-470-2203-4
eBook Packages: Springer Book Archive