Related Experiment Video
Updated: May 14, 2026

Thermal Preconditioning During Ex-vivo Lung Perfusion for the Rehabilitation of Damaged Lung Grafts before Transplantation
Published on: October 31, 2025
Intraoperative protective ventilation strategies in lung transplantation
Genna L Verbeek1, Paul S Myles
1Department of Anaesthesia and Perioperative Medicine, The Alfred Hospital, Melbourne, Australia. genna.verbeek@monash.edu
Abstract:
Primary graft dysfunction (PGD) occurs in up to 25% of patients after lung transplantation. One method of reducing the risk of developing PGD is to incorporate a protective ventilation strategy in the donor, as well as after allograft implantation in the recipient, both intraoperatively and during postoperative intensive care management. However, this is not standardised practice. This review describes current approaches to protective mechanical ventilation in thoracic anaesthesia, with specific reference to intraoperative lung transplantation, including low tidal volumes, pressure-controlled versus volume-controlled ventilation, positive end-expiratory pressure and alveolar recruitment manoeuvres.
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