Intraoperative Implications of the Recipients' Disease for Double-Lung Transplantation

نویسندگان

چکیده

Objectives: To compare intraoperative patterns among patients based on their primary pulmonary disease (cystic fibrosis [CF], chronic obstructive [COPD]/emphysema [CE], and [PF]) during double- lung transplantation. The following 3 major outcomes were reported: blood transfusion, extracorporeal membrane oxygenation (ECMO) management, the possibility of immediate extubation at end surgery. Design: Retrospective analysis a prospectively maintained database, including donor recipient characteristics variables. Setting: Foch Hospital, Suresnes, France (academic center performing 60-80 transplantations per year). Participants: Patients who underwent transplantation from 2012–2019. with retransplantation, multiorgan transplantation, or surgery performed cardiopulmonary bypass excluded. Interventions: None. Measurements Main Results: Two hundred forty-six had CF, 117 CE, 66 PF. No patient arterial hypertension. Blood transfusion was higher in CF group than other 2 groups (red cells [p < 0.001], fresh frozen plasma = 0.004]). CE characterized by lower requirement ECMO (p 0.002), PF more frequently required postoperative 0.001). extubated operating room (37.4%, 50.4%, 13.6%, respectively; p Conclusions: Intraoperative differed depending initial pathology. Such differences should be taken into account specific clinical studies management protocols.

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ژورنال

عنوان ژورنال: Journal of Cardiothoracic and Vascular Anesthesia

سال: 2021

ISSN: ['1053-0770', '1532-8422']

DOI: https://doi.org/10.1053/j.jvca.2020.07.039