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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2021 / Cilt: 29 - Sayı: 4

The role of intraoperative pulmonary arterial catheterization data in determiningthe need for extracorporeal membrane oxygenation in lung transplantation

Akciğer naklinde intraoperatif pulmoner arter kateterizasyon verilerinin ekstrakorporeal membranoksijenasyon ihtiyacını belirlemedeki rolü

Atakan ERKILINÇ
Pınar KARACA BAYSAL
Pages
480–486
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Predicting the need of intraoperative extracorporealmembrane oxygenation support is of utmost importance in timingthe need for mechanical support, protecting the new graft fromhigh mechanical ventilator pressures, and adequately maintaininghemodynamic stability.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: This study aims to investigate predictive factors ofidentification of the need of patients for extracorporeal membraneoxygenation support during lung transplantation.
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Key Findings & Data:Methods: A total of 63 patients (49 males, 14 females, meanage: 44.9±14.4 years; range, 14 to 64 years) who underwentlung transplantation in our institution between December 2016and December 2019 were retrospectively analyzed.
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Conclusion & Impact:Conclusion: Predicting the need of intraoperative extracorporealmembrane oxygenation support is of utmost importance in timingthe need for mechanical support, protecting the new graft fromhigh mechanical ventilator pressures, and adequately maintaininghemodynamic stability.
🔬Design:Research Article
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters

Abstract

Background: This study aims to investigate predictive factors ofidentification of the need of patients for extracorporeal membraneoxygenation support during lung transplantation. Methods: A total of 63 patients (49 males, 14 females, meanage: 44.9±14.4 years; range, 14 to 64 years) who underwentlung transplantation in our institution between December 2016and December 2019 were retrospectively analyzed. Demographiccharacteristics and perioperative clinical data of patients wererecorded. After induction and pulmonary artery catheterization,cardiac output, mean pulmonary artery pressure, pulmonarycapillary wedge pressure, cardiac index, pulmonary vascularresistance, systemic vascular resistance, and right atrial pressurewere measured using the thermodilution technique. Results: Thirty-three of the patients received extracorporealmembrane oxygenation support during surgery. The right atrialpressure (p 39 mmHg (p 12 mmHg (p<0.047) were independent risk factorsfor ECMO support intraoperatively during lung transplantation. Conclusion: Predicting the need of intraoperative extracorporealmembrane oxygenation support is of utmost importance in timingthe need for mechanical support, protecting the new graft fromhigh mechanical ventilator pressures, and adequately maintaininghemodynamic stability.

Özet

Amaç: Bu çalışmada, akciğer nakli sırasında hastalarınintraoperatif ekstrakorporeal membran oksijenasyon destekihtiyacını belirleyen öngördürücü faktörler araştırıldı. Ça­lış­ma pla­nı: Aralık 2016 - Aralık 2019 tarihleri arasındahastanemizde akciğer nakli olan toplam 63 hasta (49 erkek,14 kadın; ort. yaş 44.9±14.4 yıl; dağılım, 14-64 yıl) retrospektifolarak incelendi. Hastaların demografik özellikleri veperioperatif klinik verileri kaydedildi. İndüksiyon ve pulmonerarter kateterizasyonu sonrasında kalp debisi, ortalama pulmonerarter basıncı, pulmoner kapiller kama basıncı, kardiyak indeks,pulmoner vasküler direnç, sistemik vasküler direnç ve sağ atriyalbasınç termodilüsyon tekniği ile ölçüldü. Bulgular: Hastaların 33’ü ameliyat sırasında ekstrakorporealmembran oksijenasyon desteği aldı. Ameliyat sırasındaekstrakorporeal membran oksijenasyon desteği gereken hastalardasağ atriyal basınç (p 39 mmHg (p 12 mmHg (p<0.047) olması, akciğer nakli sırasında intraoperatifolarak ekstrakorporeal membran oksijenasyon desteğinin bağımsızrisk faktörleri idi. So­nuç: İntraoperatif dönemde ekstrakorporeal membranoksijenasyon desteğine duyulan ihtiyacın öngörülebilmesi; mekanikdestek ihtiyacının zamanlaması, yüksek mekanik ventilatörbasınçlarından yeni greftin korunması ve hemodinamik stabiliteninetkin bir şekilde sürdürülebilmesi açısından oldukça önemlidir.

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Cite This Article

ERKILINÇ, A., BAYSAL, P. K. (2022). The role of intraoperative pulmonary arterial catheterization data in determiningthe need for extracorporeal membrane oxygenation in lung transplantation. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 29 - Sayı: 4, 480–486. https://ajindex.com/articles/423595

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References (14)

  1. Myles PS, Weeks AM, Buckland MR, Silvers A, Bujor M, Langley M. Anesthesia for bilateral sequential lung transplantation: Experience of 64 cases. J Cardiothorac Vasc Anesth 1997;11:177-83
  2. Slinger P. Anaesthetic management for lung transplantation. Tx Med 2012;24:27-34
  3. Baez B, Castillo M. Anesthetic considerations for lung transplantation. Semin Cardiothorac Vasc Anesth 2008;12:122-7
  4. Miranda A, Zink R, McSweeney M. Anesthesia for lung transplantation. Semin Cardiothorac Vasc Anesth 2005;9:205-12
  5. Serra E, Feltracco P, Barbieri S, Forti A, Ori C. Transesophageal echocardiography during lung transplantation. Transplant Proc 2007;39:1981-2
  6. Hirt SW, Haverich A, Wahlers T, Schäfers HJ, Alken A, Borst HG. Predictive criteria for the need of extracorporeal circulation in single-lung transplantation. Ann Thorac Surg 1992;54:676-80
  7. Hinske LC, Hoechter DJ, Schröeer E, Kneidinger N, Schramm R, Preissler G, et al. Predicting the necessity for extracorporeal circulation during lung transplantation: A feasibility study. J Cardiothorac Vasc Anesth 2017;31:931-8
  8. De Wolf AM. Pulmonary artery catheter: Rest in peace? Not just quite yet… Liver Transpl 2008;14:917-8
  9. De Wolf AM, Aggarwal S. Monitoring preload during liver transplantation. Liver Transpl 2008;14:268-9
  10. Della Rocca G, Costa GM, Coccia C, Pompei L, Di Marco P, Pietropaoli P. Preload index: Pulmonary artery occlusion pressure versus intrathoracic blood volume monitoring during lung transplantation. Anesth Analg 2002;95:835-43
  11. Tomasi R, Betz D, Schlager S, Kammerer T, Hoechter DJ, Weig T, et al. Intraoperative anesthetic management of lung transplantation: Center-specific practices and geographic and centers size differences. J Cardiothorac Vasc Anesth 2018;32:62-9
  12. Hoetzenecker K, Schwarz S, Muckenhuber M, Benazzo A, Frommlet F, Schweiger T, et al. Intraoperative extracorporeal membrane oxygenation and the possibility of postoperative prolongation improve survival in bilateral lung transplantation. J Thorac Cardiovasc Surg 2018;155:2193-206.e3
  13. Kusunose K, Agarwal S, Marwick TH, Griffin BP, Popović ZB. Decision making in asymptomatic aortic regurgitation in the era of guidelines: incremental values of resting and exercise cardiac dysfunction. Circ Cardiovasc Imaging 2014;7:352-62
  14. Ling LF, Marwick TH. Echocardiographic assessment of right ventricular function: How to account for tricuspid regurgitation and pulmonary hypertension. JACC Cardiovasc Imaging 2012;5:7