肺移植围手术期循环支持和管理:一项基于病例的回顾。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-03-01 DOI:10.1177/10892532221134574

Hong Liang, Ashley V Fritz, Archer K Martin

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引用次数: 1

摘要

肺移植(LTx)历来是在体外循环(CPB)或无泵手术的情况下进行的。最近的数据表明，全球许多肺移植中心对体外膜氧合(ECMO)作为围手术期循环支持的兴趣越来越大。然而，对于LTx的麻醉管理尚无既定的指导方针。我们报告了一位有系统性硬化症和间质性肺疾病病史，并发急性全身性肺动脉高压和右心衰的患者，正在接受LTx手术。我们的目的是讨论围手术期的循环支持，包括ECMO到LTx的桥接，以及在LTx期间如何最好地考虑CPB、ECMO和停泵的各种术中策略，术中维护和凝血管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Perioperative Circulatory Support and Management for Lung Transplantation: A Case-Based Review.

Lung transplantation (LTx) historically was performed with cardiopulmonary bypass (CPB) or Off-pump. Recent data suggest an increased interest in extracorporeal membrane oxygenation (ECMO) as perioperative circulatory support by many lung transplantation centers worldwide. However, there are no established guidelines for anesthetic management for LTx. We present a patient with a history of systemic sclerosis and interstitial lung disease complicated by acute onset of systemic pulmonary hypertension and right heart failure undergoing LTx. We aim to discuss perioperative circulatory support, including ECMO bridge to LTx, and how best to consider the varied intraoperative strategies of CPB vs ECMO vs off-pump during LTx, intraoperative maintenance, and coagulation management.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.