Anesthesia management of bilateral lung transplantation: Case report [Bilateral akciger transplantasyonunda anestezi yönetimi]

In recent years, lung transplantation (LT) has been considered to be the most effective treatment method for increasing the quality of life and survival rates in patients with end-stage pulmonary disease. Anesthesiologists can encounter some difficulties in patients undergoing LT. It has been established that induction of anesthesia, positive pressure ventilation, achievement and maintenance of one lung ventilation, clamping and declamping of the pulmonary artery and reperfusion of the transplanted lung were the critical stages when problems tended to occur. Therefore, thorough knowledge of the pathologic physiology of the end-stage pulmonary disease as well as full understanding and adequate management of the specific stages of surgery are essential for anesthesia during bilateral LT. In this case report, we aimed to present the anesthetic management of a 15 year-old male patient with end-stage respiratory failure who underwent the very first bilateral LT in our country and the difficulties faced by the anesthesia team during the operation