Anesthesia For Patients Receiving Single-Lung Transplantation in Non-Pulmonary Surgical Intervention: A Case Report

Authors

  • Laortip Rattanapittayaporn Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Mantana Saetang Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Wirat Wasinwong Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Jutarat Tanasansuttiporn Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

DOI:

https://doi.org/10.31584/jhsmr.20231012

Keywords:

anesthesia, non-pulmonary surgery, single-lung transplantation

Abstract

With improvements in the survival rate following lung transplantation, lung transplant recipients occasionally undergo subsequent non-pulmonary surgical interventions that are not directly related to their pulmonary disease. Both anesthesia and surgical procedures can affect the transplanted lungs and other organs in such patients. Moreover, these patients may show pulmonary function impairment; depending on the type of surgery and anatomical site. An adequate understanding of the physiology of the transplanted lung, careful preoperative evaluation and preparation, appropriate utilization of airway equipment, and proper management of intraoperative fluids and ventilation are crucial for superior perioperative outcomes.

References

Erasmus ME, Bij W. Death after lung transplantation: improving long term survival despite perilous early postoperative years. Transpl Int 2020;33:128–9.

Chambers DC, Cherickh WS, Harhay MO, Jr DH, Hsich E, Khush K, et al. The international thoracic organ transplant registry of the international society for heart and lung transplantation: thirty-sixth adult lung and heart-lung transplantation report – 2019; focus theme: donor and recipient size match. J Heart Lung Transplant 2019;38:1042–55.

Christie JD, Edwards LB, Kucheryavaya AY, Benden C, Dipchand AI, Dobbels F, et al. The registry of the international society for heart and lung transplantation: 29th adult lung and heart-lung transplant report-2012. J Heart Lung Transplant 2012;31:1073-86.

Feltracco P, Falasco G, Barbieri S, Milevoj M, Serra E, Ori C. Anesthetic considerations for nontransplant procedures in lung transplant patients. J Clin Anesth 2011;23:508-16.

Miller CB, Malaisrie SC, Patel J, Garrity E, Vigneswaran WT, Gamelli RL. Intraabdominal complications after lung transplantation. J Am Coll Surg 2006;203:653-60.

Sulser P, Lehmann K, Schuurmans MM, Weder W, Inci I. Early and late abdominal surgeries after lung transplantation: incidence and outcome. Interact Cardiovasc Thorac Surg 2018;27:727-32.

Yusen RD, Shearon TH, Qian Y, Kotloff R, Barr ML, Sweet S, et al. Lung transplantation in the United States, 1999-2008. Am J Transplant 2010;10:1047-68.

Studer SM, Levy RD, McNeil K, Orens JB. Lung transplant outcomes: a review of survival, graft function, physiology, health-related quality of life and cost-effectiveness. Eur Respir J 2004;24:674-85.

Boscoe M. Anesthesia for patients with transplanted lungs and heart and lungs. Int Anesthesiol Clin 1995;33:21-44.

Schilling T, Kozian A, Senturk M, Huth C, Reinhold A, Hedenstierna G, et al. Effects of volatile and intravenous anesthesia on the alveolar and systemic inflammatory response in thoracic surgical patients. Anesthesiology 2011;115:65-74.

Subramony SH, Carpenter DE, Raju S, Pride M, Evans OB. Myopathy and prolonged neuromuscular blockade after lung transplant. Crit Care Med 1991;19:1580-2.

Sarkar M, Laussen PC, Zurakowski D, Shukla A, Kussman B, Odegard KC. Hemodynamic responses to etomidate on induction of anesthesia in pediatric patients. Anesth Analg 2005;101:645-50.

Smiley RM, Navedo AT, Kirby T, Schulman LL. Postoperative independent lung ventilation in a single-lung transplant recipient. Anesthesiology 1991;74:1144-8.

Samarütel J. Evidence-based medicine for lung-protective ventilation: the emperor’s new clothes for doubtful recommendations? Acta Anaesthesiol Scand 2010;54:42-5.

Montes FR, Pardo DF, Charrís H, Tellez LJ, Garzón JC, Osorio C. Comparison of two protective lung ventilatory regimes on oxygenation during one-lung ventilation: a randomized controlled trial. J Cardiothorac Surg 2010;5:99.

Duan Q, Zhang Y, Yang D. Perioperative fluid management for lung transplantation is challenging. Heliyon 2023;9:e14704.

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Published

2024-03-28

How to Cite

1.
Rattanapittayaporn L, Saetang M, Wasinwong W, Tanasansuttiporn J. Anesthesia For Patients Receiving Single-Lung Transplantation in Non-Pulmonary Surgical Intervention: A Case Report. J Health Sci Med Res [Internet]. 2024 Mar. 28 [cited 2024 Dec. 23];42(3):e20231012. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/270039

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Section

Case Report