Lung transplant

Question 1

Obstructive airway disease specific lung transplant

Answer 1

usually just COPD
post-dil FEV1 < 20%
Pa02 < 55 at rest
PaCo2 > 55 at rest
pulmonary HTN
try for double lung

Question 2

IPF specific lung transplant

Answer 2

worst survival, so refer early

Question 3

CT specific lung trnasplant

Answer 3

< 30 years old
bilateral for infections
FEV1 < 30%, or hypox, hypercap, weight loss

Question 4

PHTN specific lung transplant

Answer 4

PAP > 50
RA > 10
CI < 2.5
NYHA III or IV and syncope

Question 5

Donor considerations for lung

Answer 5

< 55 years old
PA02 > 300 on 100% FiO2 and PEEP of 5
normal CXR
normal bronch

Question 6

cannulation for lung transplant if needed

Answer 6

can do central if right, peripheral if left

Question 7

what gradient across PA anastomosis needs revision

Answer 7

15-20 mmHg