医学
重症监护医学
肺炎
肺
吸入性肺炎
肺水肿
脑死亡
水肿
麻醉
外科
内科学
移植
作者
A. Arjuna,Anna Teresa Mazzeo,Tommaso Tonetti,Rajat Walia,Luciana Mascia
标识
DOI:10.1016/j.thorsurg.2021.11.005
摘要
The use of donor management protocols has significantly improved recovery rates; however, the inherent instability of lungs after death results in low utilization rates of potential donor lungs. Donor lungs are susceptible to direct trauma, aspiration, neurogenic edema, ventilator-associated barotrauma, and ventilator-associated pneumonia. After irreversible brain injury and determination of futility of care, the goal of medical management of the donor shifts to maintaining hemodynamic stability and maximizing the likelihood of successful organ recovery.
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