• Semin Cardiothorac Vasc Anesth · Mar 2020

    Review

    Perioperative Management of Bleeding and Transfusion for Lung Transplantation.

    • Joseph J Pena, Brandi A Bottiger, and Andrea N Miltiades.
    • Columbia University Medical Center, New York, NY, USA.
    • Semin Cardiothorac Vasc Anesth. 2020 Mar 1; 24 (1): 74-83.

    AbstractPerioperative allogeneic blood product transfusion is common in lung transplantation and has various implications on the short- and long-term outcomes of lung recipients. This review summarizes the effect of transfusion on outcomes including primary graft dysfunction, chronic lung allograft dysfunction, and all-cause mortality. We outline known risk factors for increased transfusion requirement in lung transplantation and present current evidence regarding the effect of hemostatic agents including antifibrinolytics, recombinant factor VII, and prothrombin complex concentrates. Finally, we highlight the roles of point-of-care coagulation testing and goal-directed transfusion strategies in reducing transfusion requirements in lung transplantation.

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