Con: Extracorporeal Membrane Oxygenation Should Not Routinely Replace Cardiopulmonary Bypass As the Preferred Method of Support During Lung Transplantation

Lung transplantation is the treatment of last resort for many patients with end-stage lung disease. Although the first lung transplant operation was performed in 1962, it was not until the 1980s that lung transplantation became accepted more widely with the advent of better immunosuppression therapy. Since that time, many advancements have sequentially improved both the short-term and long-term outcomes of patients undergoing this therapy. Although lung transplantation traditionally was performed through a clamshell incision off-pump, the use of cardiopulmonary bypass (CPB) has expanded the indication to include patients with pulmonary hypertension, right heart failure, the need for concomitant cardiac surgery procedures and patients who cannot tolerate single-lung ventilation.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Pro and Con Source Type: research