Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

ISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation : Part III: Postoperative Considerations

Martin, Archer Kilbourne ; Mercier, Olaf ; Bottiger, Brandi ; Cypel, Marcelo ; Fessler, Julien ; Gomez-De-Antonio, David ; Levvey, Bronwyn ; Lyster, Haifa ; Nasir, Basil and Sanchez, Melissa , et al. (2026) In Journal of Heart and Lung Transplantation 45(1). p.63-81
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 22 recommendations regarding postoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the criteria for postoperative ECLS as well as select multidisciplinary team management considerations throughout the entire postoperative spectrum.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; and (Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
extracorporeal circulatory life support (ECLS), extracorporeal membrane oxygenation (ECMO), intensive care unit, lung transplant, multidisciplinary
in
Journal of Heart and Lung Transplantation
volume
45
issue
1
pages
63 - 81
publisher
Elsevier
external identifiers
  • scopus:105008749841
  • pmid:40455186
ISSN
1053-2498
DOI
10.1016/j.healun.2025.03.004
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2025 International Society for the Heart and Lung Transplantation.
id
c66f6f77-e73a-42f7-ad87-3163b16eb98f
date added to LUP
2026-01-29 14:44:18
date last changed
2026-01-29 14:45:32
@article{c66f6f77-e73a-42f7-ad87-3163b16eb98f,
  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 22 recommendations regarding postoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the criteria for postoperative ECLS as well as select multidisciplinary team management considerations throughout the entire postoperative spectrum.</p>}},
  author       = {{Martin, Archer Kilbourne and Mercier, Olaf and Bottiger, Brandi and Cypel, Marcelo and Fessler, Julien and Gomez-De-Antonio, David and Levvey, Bronwyn and Lyster, Haifa and Nasir, Basil and Sanchez, Melissa and Wille, Keith and Fritz, Ashley Virginia and Gelzinis, Theresa and Hoetzenecker, Konrad and Dave, Kavita and Lindstedt, Sandra and Marczin, Nandor and Wilkey, Barbara and Schecter, Marc and Walsh, James and Morrissey, Orla and Landry, Caroline and Saatee, Siavosh and Kotecha, Sakhee and Behr, Juergen and Kukreja, Jasleen and Dellgren, Göran and Reed, Anna K.}},
  issn         = {{1053-2498}},
  keywords     = {{extracorporeal circulatory life support (ECLS); extracorporeal membrane oxygenation (ECMO); intensive care unit; lung transplant; multidisciplinary}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{63--81}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Heart and Lung Transplantation}},
  title        = {{ISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation : Part III: Postoperative Considerations}},
  url          = {{http://dx.doi.org/10.1016/j.healun.2025.03.004}},
  doi          = {{10.1016/j.healun.2025.03.004}},
  volume       = {{45}},
  year         = {{2026}},
}