Prise en charge de la transplantation pulmonaire en réanimation

Lung transplantation is now a valid option for the treatment of various forms of advanced chronic respiratory failure. During the early postoperative period, the patients are exposed to several life-threatening events (including primary graft dysfunction infection, acute rejection, hemorrhage, bronchial anastomotic complications, iatrogenic complications…) which are potential sources of morbidity and mortality. After the surgical procedure, the transplanted patients are transferred to the intensive care unit where, besides the usual complications after thoracic surgery, the clinicians will have to diagnose and manage those specific early complications of lung transplantation, in coordination with the surgeons, the pulmonologists and the transplant physicians.