Acute Crit Care.
2018 Nov;33(4):206-215. 10.4266/acc.2018.00360.
Critical Care after Lung Transplantation
- Affiliations
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- 1Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 2Division of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 3Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea.
- 4Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. Anesjeongmin@yuhs.ac
- KMID: 2441237
- DOI: http://doi.org/10.4266/acc.2018.00360
Abstract
- Since the first successful lung transplantation in 1983, there have been many advances in the field. Nevertheless, the latest data from the International Society for Heart and Lung Transplantation revealed that the risk of death from transplantation is 9%. Various aspects of postoperative management, including mechanical ventilation, could affect intensive care unit stay, hospital stay, and immediate postoperative morbidity and mortality. Complications such as reperfusion injury, graft rejection, infection, and dehiscence of anastomosis increase fatal adverse side effects immediately after surgery. In this article, we review the possible immediate complications after lung transplantation and summarize current knowledge on prevention and treatment.
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