International consensus recommendations for anesthetic and intensive care management of lung transplantation

“International consensus recommendations for anesthetic and intensive care management of lung transplantation. An EACTAIC, SCA, ISHLT, ESOT, ESTS, and AST approved document.”

Nandor Marczin, MD, PhD, Eric E.C. de Waal, MD, PhD, Peter M.A. Hopkins, MD, Michael S. Mulligan, MD, Andre Simon, MD, PhD, Andrew D. Shaw, MB, FRCA, FRCPC, FFICM, Dirk Van Raemdonck, MD, PhD, Arne Neyrinck, MD, PhD, Cynthia J. Gries, MD, MS, Lars Algotsson, MD, PhD, Laszlo Szegedi, MD, PhD, and Vera von Dossow, MD, Task force Chairs and Writing Group (exclusive of the consensus developing and coordinating group members): Aidan Burrell, MBBS, PhD; Paula Carmona, MD, PhD; Donna Greenhalgh, MB, ChB, FRCA; Dominik Hochter, MD; Bessie Kachulis, MD; Christopher S. King, MD; Marc J. Licker, MD; David R. McIlroy, MBBS, MClinEpi, MD, FANZCA; Priya Nair, MBBS, MD, FCICM, PhD; Daniela Pasero, MD, MSc; David Pilcher, MBBS, MRCP, FCICM, FRACP; Steffen Rex, MD, PhD; David Royston, FRCA; Peter Slinger, MD, FRCPC; Franco Valenza, MD; Chris Walker, MBBS, FRCA, FFPMRCA, FFICM. Consensus members (exclusive of the consensus developing and coordinating group or co-chairs and writing group members): Antonio Arcadipane, MD; Oliver Bastien, MD, PhD; Joseph A. Bekkers, MD, PhD; Dominique Bettex, MD; Francesca Caliandro, MD; Erika Dal Checco, MD; Robert Duane Davis, MD; Goran Dellg- ren, MD, PhD; Andreas Espinoza, MD, PhD; Marie Louise Felten, MD; Paolo Feltracco, MD; Marc Fischler, MD; Linda J Fitzgerald, PharmD, BCPS; Ana Flo Forner, MD; Isabel Fragata, MD; Ana Gonzalez Roman, MD, PhD, MBA; Paul Harris, MBChB, FRCA, FFICM, RCPathME; Matthias Hommel, MD, MBA; Nicholas J. Lees, FRCA, EDIC, FFICM; Morgan Le Guen, MD, PhD; Marc Leone, MD, PhD; Thierry Lepoivre, MD; Carlo Marcucci, MD; Sabina Martelli, MD; Mir- eille Michel-Cherqui, MD; Ulrich Molitoris, MD; Philippe Montravers, MD, PhD; Roberto Mosca, MD; Barbora Parizkova, MD, FRCA; Mahesh Prabhu, MD, FRCA, FFICM; Francesco Pugliese, MD; Sanjeev M. Raman, MBBS, MD; Cristina Ramos, MD; Vito Marco Ranieri, MD; Maria I. Real, MD, PhD; Sven-Erik Ricks- ten; Ana Gonzalez Roman, MD, PhD, MBA; Bertrand Rozec, MD, PhD; Shiva M. Sale, MBBS, MD, FASE; Juan F. Sanchez, MD, FCCP; Johanna Schwarzenberger, MD; Sema Turan, MD; Kamen Valchanov, BSc, MD, FRCA, FFICM; Vincent G. Valentine MD, FCCP; Peter von Homeyer, MD, FASE; Alain Vuylsteke, BSc, MA, MD, (FRCA, FFICM); Thomas Weig, MD; Iratxe Zarragoikoetxea, MD, PhD; Sebastian Zenz, MD. Independent Reviewers: Pierre-Emmanuel Falcoz MD; Ilhan Inci, FEBTS; Andrew Roscoe, FRCA; Mert Senturk, MD.

J Heart Lung Transplant 2021 Nov;40(11):1327-1348.

This quarter’s editorial is taking a step off the beaten path. Last month the Journal of Heart and Lung Transplantation published, what I believe to be, a groundbreaking international multidisciplinary document for perioperative care of lung transplant recipients. This document acknowledges that anesthetic and intensive care management impacts long term outcomes in lung transplant recipients. It offers a combination of published data and expert opinion for guidance and is the first major consensus document to specifically address anesthetic care for lung transplantation.

Key themes include the inclusion of anesthesiologists and intensivists in the selection of lung transplant recipients, use of echocardiography intraoperatively, indications for intraoperative rescue mechanical support, timing of ECMO wean, and strategies for the prevention of primary graft dysfunction. This is a strong document. I hope you give it a read.

Barbara Wilkey, MD