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ISHLT consensus statement on the perioperative use of ECLS in lung transplantation : Part II: Intraoperative considerations

Martin, Archer Kilbourne ; Mercier, Olaf ; Fritz, Ashley Virginia ; Gelzinis, Theresa A. ; Hoetzenecker, Konrad ; Lindstedt, Sandra LU ; Marczin, Nandor ; Wilkey, Barbara J. ; Schecter, Marc and Lyster, Haifa , et al. (2024) In Journal of Heart and Lung Transplantation
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 39 recommendations regarding intraoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the planning, implementation, management, and monitoring of ECLS throughout the entire intraoperative period.

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organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
ECLS, ECMO, end-stage lung disease, lung transplant, multidisciplinary
in
Journal of Heart and Lung Transplantation
publisher
Elsevier
external identifiers
  • scopus:85208592471
  • pmid:39453286
ISSN
1053-2498
DOI
10.1016/j.healun.2024.08.027
language
English
LU publication?
yes
id
5d3ea574-6fcd-4b27-b1dd-65cf55fda0c1
date added to LUP
2025-02-17 15:23:21
date last changed
2025-07-08 13:58:24
@article{5d3ea574-6fcd-4b27-b1dd-65cf55fda0c1,
  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 39 recommendations regarding intraoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the planning, implementation, management, and monitoring of ECLS throughout the entire intraoperative period.</p>}},
  author       = {{Martin, Archer Kilbourne and Mercier, Olaf and Fritz, Ashley Virginia and Gelzinis, Theresa A. and Hoetzenecker, Konrad and Lindstedt, Sandra and Marczin, Nandor and Wilkey, Barbara J. and Schecter, Marc and Lyster, Haifa and Sanchez, Melissa and Walsh, James and Morrissey, Orla and Levvey, Bronwyn and Landry, Caroline and Saatee, Siavosh and Kotecha, Sakhee and Behr, Juergen and Kukreja, Jasleen and Dellgren, Göran and Fessler, Julien and Bottiger, Brandi and Wille, Keith and Dave, Kavita and Nasir, Basil S. and Gomez-De-Antonio, David and Cypel, Marcelo and Reed, Anna K.}},
  issn         = {{1053-2498}},
  keywords     = {{ECLS; ECMO; end-stage lung disease; lung transplant; multidisciplinary}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Heart and Lung Transplantation}},
  title        = {{ISHLT consensus statement on the perioperative use of ECLS in lung transplantation : Part II: Intraoperative considerations}},
  url          = {{http://dx.doi.org/10.1016/j.healun.2024.08.027}},
  doi          = {{10.1016/j.healun.2024.08.027}},
  year         = {{2024}},
}