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Donor lung management: Changing perspectives
Unmil Shah1, Vijil Rahulan2, Pradeep Kumar2
1Institute of Heart and Lung Transplant, KIMS, Secunderabad, Telangana; Department of Heart and Lung Transplant, Gleneagles Global Hospital, Mumbai, Maharashtra, India.
Lung India : Official Organ of Indian Chest Society
|September 2, 2021
Summary
Optimizing donor lung management is crucial for successful lung transplantation. This review outlines protocols to enhance donor lung suitability, expanding the donor pool and improving outcomes for end-stage lung disease patients.
Area of Science:
- Thoracic Surgery
- Transplantation Medicine
- Pulmonology
Background:
- Lung transplantation is a vital option for end-stage lung disease.
- Donor lung quality is often compromised by trauma or neurogenic factors.
- Effective donor lung management is essential for successful transplant programs.
Purpose of the Study:
- To outline protocols for optimizing donor lungs.
- To discuss COVID-19 specific considerations for donor lung evaluation.
- To define criteria for ideal and marginal donor lungs.
Main Methods:
- Comprehensive literature search using PubMed.
- Review of articles on donor lung management protocols.
- Analysis of criteria for donor lung assessment.
Main Results:
- Established protocols can improve donor lung suitability.
- COVID-19 presents unique challenges and considerations for donor lung evaluation.
- Clear criteria differentiate ideal from marginal donor lungs, aiding selection.
Conclusions:
- Optimizing donor lung management can increase the donor pool.
- Standardized evaluation, including COVID-19 specific points, is key.
- Improved donor lung utilization enhances lung transplant program success.
