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Related Concept Videos

Kidney Transplant I: Introduction01:28

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
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Critical Care before Lung Transplantation.

Jin Gu Lee1, Moo Suk Park2, Su Jin Jeong3

  • 1Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea.

Acute and Critical Care
|November 15, 2019
PubMed
Summary

Lung transplantation is a vital treatment for end-stage lung disease. Intensive care unit (ICU) management, including mechanical ventilation and extracorporeal life support, is crucial for bridging patients to transplant and ensuring long-term success.

Keywords:
critical caredonor selectionextracorporeal life supportlung transplantationmechanical ventilationpreoperative caretransplant recipients

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Area of Science:

  • Critical care medicine
  • Pulmonology
  • Transplant surgery

Background:

  • Lung transplantation is the primary treatment for end-stage lung disease.
  • A shortage of donor lungs leads to ICU admission for many transplant candidates.
  • Effective ICU care is vital for bridging patients to transplantation and ensuring post-transplant outcomes.

Purpose of the Study:

  • To review the critical care management of lung transplant candidates in the ICU.
  • To discuss respiratory support strategies, including mechanical ventilation and ECLS.
  • To highlight the importance of early problem recognition and management for long-term transplant success.

Main Methods:

  • Review of current literature on critical care for lung transplant patients.
  • Analysis of respiratory support techniques: mechanical ventilation (MV) and extracorporeal life support (ECLS).
  • Discussion of candidate selection and management strategies in the ICU.

Main Results:

  • Critical care optimizes patient stability for lung transplantation.
  • MV and ECLS are key respiratory support modalities in the ICU.
  • Proactive management of pre- and post-transplant complications improves outcomes.

Conclusions:

  • Optimized ICU care is essential for lung transplant candidates.
  • Familiarity with MV and ECLS is crucial for critical care providers.
  • Effective management in the ICU directly impacts long-term lung transplant success.