Journal article
Anesthetic management of lung transplantation: Results from a multicenter, cross‐sectional survey by the society for advancement of transplant anesthesia
Clinical transplantation, Vol.34(8), pp.e13996-n/a
08/2020
DOI: 10.1111/ctr.13996
PMID: 32484978
Abstract
Background
Current protocols for the perioperative care of lung transplant (LTX) recipients lack rigorous evidence and are often empiric, based upon institutional preferences. We surveyed LTX anesthesiologists to determine the most common practices.
Methods
We developed a survey of 40 questions regarding perioperative care of LTX recipients using Qualtrics software. The survey was sent out to members of the Society of Cardiovascular Anesthesiologists performing LTX at geographically diverse sites to facilitate data collection for as many practices as possible.
Results
The responses were center‐weighed (127 responses, 85% from academic settings). The clamshell approach was commonly used (70%). Cardiopulmonary bypass was preferred by 56%, ex vivo lung perfusion utilized by 43%, and 49.4% indicated they use lungs from donation after circulatory determination of death. Most (69%) used oximetric pulmonary artery catheters, 60% used tissue oximetry, and 89.3% utilized transesophageal echocardiography. Inhaled nitric oxide was preferred by 48%, restrictive fluid management by 48%, and systemic analgesia advocated by 49% of participants. Inspired oxygen concentration <30% was applied to the new lung on reperfusion by 28% of the respondents.
Conclusion
Variations in healthcare delivery and utilization for LTX recipients indicate gaps in knowledge and potential opportunities to improve the quality of care.
Details
- Title: Subtitle
- Anesthetic management of lung transplantation: Results from a multicenter, cross‐sectional survey by the society for advancement of transplant anesthesia
- Creators
- Kathirvel Subramaniam - University of PittsburghJ. Mauricio Del Rio - Duke University HospitalBarbara J. Wilkey - University of Colorado DenverAkshay Kumar - Medanta The MedicityJustin N. Tawil - Medical College of WisconsinSudhakar Subramani - University of IowaMakiko Tani - Okayama University HospitalPablo G. Sanchez - University of Pittsburgh Medical CenterM. Susan Mandell - University of Colorado Denver
- Resource Type
- Journal article
- Publication Details
- Clinical transplantation, Vol.34(8), pp.e13996-n/a
- DOI
- 10.1111/ctr.13996
- PMID
- 32484978
- ISSN
- 0902-0063
- eISSN
- 1399-0012
- Number of pages
- 10
- Language
- English
- Date published
- 08/2020
- Academic Unit
- Anesthesia
- Record Identifier
- 9984295925902771
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