The use of extracorporeal life support (ECLS) throughout the perioperative phase of lung transplantation requires nuanced planning and execution by an integrated team of multidisciplinary experts. To date, no multidisciplinary consensus document has examined the perioperative considerations of how to best manage these patients. To address this challenge, this perioperative utilization of ECLS in lung transplantation consensus statement was approved for development by the International Society for Heart and Lung Transplantation Standards and Guidelines Committee. International experts across multiple disciplines, including cardiothoracic surgery, anesthesiology, critical care, pediatric pulmonology, adult pulmonology, pharmacy, psychology, physical therapy, nursing, and perfusion, were selected based on expertise and divided into subgroups examining the preoperative, intraoperative, and postoperative periods. Following a comprehensive literature review, each subgroup developed recommendations to examine via a structured Delphi methodology. Following 2 rounds of Delphi consensus, a total of 39 recommendations regarding intraoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the planning, implementation, management, and monitoring of ECLS throughout the entire intraoperative period.

中文翻译：

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ISHLT 关于肺移植围手术期使用 ECLS 的共识声明：第二部分：术中注意事项。


在肺移植的整个围手术期使用体外生命支持 （ECLS） 需要由多学科专家团队进行细致的规划和执行。迄今为止，尚无多学科共识文件研究了如何最好地管理这些患者的围手术期考虑因素。为了应对这一挑战，国际心肺移植学会标准和指南委员会批准了 ECLS 在肺移植中的围手术期利用共识声明的制定。根据专业知识选择跨多个学科的国际专家，包括心胸外科、麻醉学、重症监护、儿科肺病学、成人肺病学、药学、心理学、物理治疗、护理和灌注，并分为检查术前、术中和术后的亚组。在全面的文献综述之后，每个亚组都提出了建议，以通过结构化的 Delphi 方法进行检查。经过 2 轮 Delphi 共识，共有 39 项关于肺移植中 ECLS 术中注意事项的建议符合共识标准。这些建议侧重于整个术中 ECLS 的规划、实施、管理和监测。