Perioperative Management of Bleeding and Transfusion for Lung Transplantation.

Published online

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Pena, JJ; Bottiger, BA; Miltiades, AN

Published Date

  • August 14, 2019

Published In

Start / End Page

  • 1089253219869030 -

PubMed ID

  • 31409203

Pubmed Central ID

  • 31409203

Electronic International Standard Serial Number (EISSN)

  • 1940-5596

Digital Object Identifier (DOI)

  • 10.1177/1089253219869030

Language

  • eng

Conference Location

  • United States