Perioperative Management of Bleeding and Transfusion for Lung Transplantation.

Loading...
Thumbnail Image

Date

2019-08-14

Journal Title

Journal ISSN

Volume Title

Repository Usage Stats

62
views
89
downloads

Citation Stats

Abstract

Perioperative 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.

Department

Description

Provenance

Citation

Published Version (Please cite this version)

10.1177/1089253219869030

Publication Info

Pena, Joseph J, Brandi A Bottiger and Andrea N Miltiades (2019). Perioperative Management of Bleeding and Transfusion for Lung Transplantation. Seminars in cardiothoracic and vascular anesthesia. p. 1089253219869030. 10.1177/1089253219869030 Retrieved from https://hdl.handle.net/10161/19283.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.

Scholars@Duke

Bottiger

Brandi Anne Bottiger

Associate Professor of Anesthesiology

I have been a member of the Cardiothoracic Anesthesiology division and Department of anesthesiology for >10 years, caring for cardiac and thoracic surgical patients. I am the current cardiothoracic anesthesiology fellowship director of 14 fellows (https://anesthesiology.duke.edu/?page_id=818051).  My academic interests are in education, CTA content development, and specific interests in outcomes improvement after lung transplantation. Additionally, I have greatly appreciated my leadership role and ability to engage with the Duke Transplant Center.


Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.