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ISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation : Part I: Preoperative Considerations

Reed, Anna K. ; Mercier, Olaf ; Behr, Juergen ; Dave, Kavita ; Dellgren, Göran ; Kotecha, Sakhee ; Kukreja, Jasleen ; Landry, Caroline ; Levvey, Bronwyn and Lyster, Haifa , et al. (2026) In Journal of Heart and Lung Transplantation 45(1). p.1-34
Abstract

The use of extracorporeal life support (ECLS) throughout the perioperative phase of lung transplantation requires nuanced planning and execution by an integrated team of multidisciplinary experts. To date, no multidisciplinary consensus document has examined the perioperative considerations of how to best manage these patients. To address this challenge, this perioperative utilization of ECLS in lung transplantation consensus statement was approved for development by the International Society for Heart and Lung Transplantation Standards and Guidelines Committee. International experts across multiple disciplines, including cardiothoracic surgery, anesthesiology, critical care, pediatric pulmonology, adult pulmonology, pharmacy,... (More)

The use of extracorporeal life support (ECLS) throughout the perioperative phase of lung transplantation requires nuanced planning and execution by an integrated team of multidisciplinary experts. To date, no multidisciplinary consensus document has examined the perioperative considerations of how to best manage these patients. To address this challenge, this perioperative utilization of ECLS in lung transplantation consensus statement was approved for development by the International Society for Heart and Lung Transplantation Standards and Guidelines Committee. International experts across multiple disciplines, including cardiothoracic surgery, anesthesiology, critical care, pediatric pulmonology, adult pulmonology, pharmacy, psychology, physical therapy, nursing, and perfusion, were selected based on expertise and divided into subgroups examining the preoperative, intraoperative, and postoperative periods. Following a comprehensive literature review, each subgroup developed recommendations to examine via a structured Delphi methodology. Following 2 rounds of Delphi consensus, a total of 50 recommendations regarding preoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the criteria for preoperative ECLS as well as select multidisciplinary team management considerations throughout the entire preoperative phase.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ECLS, ECMO, End-Stage Lung Disease, Lung Transplantation, MDT
in
Journal of Heart and Lung Transplantation
volume
45
issue
1
pages
1 - 34
publisher
Elsevier
external identifiers
  • scopus:105024446017
  • pmid:41105058
ISSN
1053-2498
DOI
10.1016/j.healun.2025.07.033
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2025 International Society for the Heart and Lung Transplantation.
id
29734321-15c2-46e7-89fa-9c88a11e5906
date added to LUP
2026-03-30 16:28:22
date last changed
2026-03-31 07:28:21
@article{29734321-15c2-46e7-89fa-9c88a11e5906,
  abstract     = {{<p>The use of extracorporeal life support (ECLS) throughout the perioperative phase of lung transplantation requires nuanced planning and execution by an integrated team of multidisciplinary experts. To date, no multidisciplinary consensus document has examined the perioperative considerations of how to best manage these patients. To address this challenge, this perioperative utilization of ECLS in lung transplantation consensus statement was approved for development by the International Society for Heart and Lung Transplantation Standards and Guidelines Committee. International experts across multiple disciplines, including cardiothoracic surgery, anesthesiology, critical care, pediatric pulmonology, adult pulmonology, pharmacy, psychology, physical therapy, nursing, and perfusion, were selected based on expertise and divided into subgroups examining the preoperative, intraoperative, and postoperative periods. Following a comprehensive literature review, each subgroup developed recommendations to examine via a structured Delphi methodology. Following 2 rounds of Delphi consensus, a total of 50 recommendations regarding preoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the criteria for preoperative ECLS as well as select multidisciplinary team management considerations throughout the entire preoperative phase.</p>}},
  author       = {{Reed, Anna K. and Mercier, Olaf and Behr, Juergen and Dave, Kavita and Dellgren, Göran and Kotecha, Sakhee and Kukreja, Jasleen and Landry, Caroline and Levvey, Bronwyn and Lyster, Haifa and Morrissey, Orla and Saatee, Siavosh and Sanchez, Melissa and Schecter, Marc and Walsh, James and Fritz, Ashley Virginia and Gelzinis, Theresa A. and Hoetzenecker, Konrad and Lindstedt, Sandra and Marczin, Nandor and Wilkey, Barbara J. and Fessler, Julien and Bottiger, Brandi and Wille, Keith and Nasir, Basil S. and Gomez-De-Antonio, David and Cypel, Marcelo and Martin, Archer Kilbourne}},
  issn         = {{1053-2498}},
  keywords     = {{ECLS; ECMO; End-Stage Lung Disease; Lung Transplantation; MDT}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{1--34}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Heart and Lung Transplantation}},
  title        = {{ISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation : Part I: Preoperative Considerations}},
  url          = {{http://dx.doi.org/10.1016/j.healun.2025.07.033}},
  doi          = {{10.1016/j.healun.2025.07.033}},
  volume       = {{45}},
  year         = {{2026}},
}