Overview of Lung Transplant:
- Lung transplantation offers hope for improved survival in end-stage lung disease patients.
- Donor selection, procurement, and preservation protocols play crucial roles.
Surgical Techniques:
- Different incisions are utilized based on the type of transplant and history of surgery in the recipient.
- Thoracotomy and clamshell incision are commonly employed with varying anastomoses.
Donor Lung Scrutiny:
- Donor organs are carefully evaluated to avoid inappropriate rejections.
- Factors like lung contusion, pneumonia, and lung damage are key concerns.
Preoperative Preparation:
- Individualized donor assessment and preservation techniques are important.
- Protocols often involve antiinflammatory agents and antioxidants.
Bridge to Lung Transplant:
- ECLS technology evolution has benefited critically ill candidates.
- Efforts towards 'awake ECLS' have shown promising outcomes.
Intraoperative Considerations:
- Surgical incision types depend on various factors and surgeon preferences.
- CPB support and intraoperative complications are managed carefully.
Care of Pulmonary Hypertension Patients:
- Special attention is given to patients with pulmonary hypertension.