Expert consensus on lung transplantation nursing (version 2022)_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Xiaojun ¹ , CHEN Bei ² , MEI Jie ¹ , ZHENG Panpan ³ , CHEN Xue ⁴ ,  CHEN Chang ⁵ , Thoracic Surgeons Branch of Shanghai Medical Association , Shanghai Engineering Research Center for Lung Transplantation

1. Operating Room, Shanghai Pulmonary Hospital, Shanghai, 200433, P. R. China;
2. The Third Ward of Thoracic Surgery, Shanghai Pulmonary Hospital, Shanghai, 200433, P. R. China;
3. The Ward of Pulmonary Circulation, Shanghai Pulmonary Hospital, Shanghai, 200433, P. R. China;
4. Recovery Room for Anesthesia, Shanghai Pulmonary Hospital, Shanghai, 200433, P. R. China;
5. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Shanghai, 200433, P. R. China;

Corresponding?author：

CHEN Chang, Email: chenthoracic@163.com

Keywords：

Lung transplantation; operation nursing; expert consensus

DOI：

10.7507/1007-4848.202209044

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

In order to promote the development of lung transplantation nursing in China, and to provide patients with comprehensive, safe, scientific and standardized surgical nursing, thoracic surgery experts and nursing experts from medical institutions qualified for lung transplantation were convened for extensive consultation. This consensus was developed in accordance with the principles of evidence-based medicine and based on the published best evidence in Chinese and English. This consensus aims to solve the potential problems in nursing cooperation in lung transplantation surgery to the greatest extent, and provide a scientific and standardized nursing cooperation plan for lung transplantation surgeries.

Citation： WANG Xiaojun, CHEN Bei, MEI Jie, ZHENG Panpan, CHEN Xue, CHEN Chang, Thoracic Surgeons Branch of Shanghai Medical Association, Shanghai Engineering Research Center for Lung Transplantation. Expert consensus on lung transplantation nursing (version 2022). Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(11): 1395-1401. doi: 10.7507/1007-4848.202209044 Copy

1.	van der Mark SC, Hoek RAS, Hellemons ME. Developments in lung transplantation over the past decade. Eur Respir Rev, 2020, 29(157): 190132.
2.	中華醫學會器官移植學分會, 國家肺移植質量管理與控制中心. 中國肺移植供體標準及獲取轉運指南. 器官移植, 2018, 9(5): 325-333.
3.	邱洪波, 閆文靜, 張琳娟, 等. 心臟死亡器官捐獻供肺獲取的手術配合. 護理實踐與研究, 2016, 13(15): 82-83.
4.	van Leeuwen OB, Brüggenwirth IMA, de Kleine RHJ, et al. Machine perfusion of donation after circulatory death liver and lungs before combined liver-lung transplantation. Transplant Direct, 2021, 7(7): e718.
5.	Yeung JC, Krueger T, Yasufuku K, et al. Outcomes after transplantation of lungs preserved for more than 12 h: A retrospective study. Lancet Respir Med, 2017, 5(2): 119-124.
6.	Steen S, Ingemansson R, Eriksson L, et al. First human transplantation of a nonacceptable donor lung after reconditioning ex vivo. Ann Thorac Surg, 2007, 83(6): 2191-2194.
7.	劉立明, 周新民, 胡建國, 等. 改良 LPD 液在心肺聯合移植術中的肺保護作用. 中南大學學報: 醫學版, 2005, 30(2): 215-216.
8.	Solidoro P, Schreiber A, Boffini M, et al. Improving donor lung suitability: From protective strategies to ex-vivo reconditioning. Minerva Med, 2016, 107(3 Suppl 1): 7-11.
9.	Schultze BS. Fluid management in lung transplant patients. Nurs Clin North Am, 2017, 52(2): 301-308.
10.	Arnaoutakis GJ, Allen JG, Merlo CA, et al. Low potassium dextran is superior to University of Wisconsin solution in high-risk lung transplant recipients. J Heart Lung Transplant, 2010, 29(12): 1380-1387.
11.	Marasco SF, Bailey M, McGlade D, et al. Effect of donor preservation solution and survival in lung transplantation. J Heart Lung Transplant, 2011, 30(4): 414-419.
12.	Warnecke G, Van Raemdonck D, Smith MA, et al. Normothermic ex-vivo preservation with the portable Organ Care System Lung device for bilateral lung transplantation (INSPIRE): A randomised, open-label, non-inferiority, phase 3 study. Lancet Respir Med, 2018, 6(5): 357-367.
13.	Copeland H, Hayanga JWA, Neyrinck A, et al. Donor heart and lung procurement: A consensus statement. J Heart Lung Transplant, 2020, 39(6): 501-517.
14.	Kotloff RM, Blosser S, Fulda GJ, et al. Management of the potential organ donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement. Crit Care Med, 2015, 43(6): 1291-1325.
15.	中華醫學會器官移植學分會. 中國肺移植供肺獲取與保護技術規范(2019版). 中華移植雜志(電子版), 2019, 13(2): 87-90.
16.	Cardini B, Oberhuber R, Fodor M, et al. Clinical implementation of prolonged liver preservation and monitoring through normothermic machine perfusion in liver transplantation. Transplantation, 2020, 104(9): 1917-1928.
17.	Gloria JN, Yerxa J, Kesseli SJ, et al. Subnormothermic ex vivo lung perfusion attenuates graft inflammation in a rat transplant model. J Thorac Cardiovasc Surg, 2022, 164(2): e59-e70.
18.	蔡英華, 姚勇, 主編. 肺移植臨床護理實踐. 南京: 東南大學出版社, 2021. 32-36.
19.	唐莉, 曾俊. 介紹一種簡易自制肝移植灌注管的方法. 護士進修雜志, 2010, 25(14): 1259.
20.	Han XW, Zhang XD, Wang Y, et al. Short- and long-term outcomes of kidney transplants with kidneys lavaged by retrograde perfusion technique. Chronic Dis Transl Med, 2015, 1(3): 163-168.
21.	李坤坤, 周靜靜, 張偉, 等. 轉運團隊在優化ICU體外膜肺氧合患者院內安全轉運的效果探究. 右江民族醫學院學報, 2021, 43(3): 434-438.
22.	Dixon JL, Stagg HW, Wehbe-Janek H, et al. A standard handoff improves cardiac surgical patient transfer: Operating room to intensive care unit. J Healthc Qual, 2015, 37(1): 22-32.
23.	農玉荷, 李壯江, 奏科, 等. 急危重癥患者ECMO支持下院內轉運的護理. 護理學雜志, 2017, 32(8): 36-37.
24.	黃菊. 手術室患者轉運和交接的改進在手術室安全管理中的應用. 世界最新醫學信息文摘(連續型電子期刊), 2019, 19(53): 263-264.
25.	郭莉, 主編. 手術室護理實踐指南(2021年版). 北京: 人民衛生出版社, 2021. 24-26.
26.	張雪飛, 宋玲, 張丹羽. 多學科合作在預防患者體外膜肺氧合輔助期間下肢壓力性損傷中的應用. 中國醫藥, 2019, 14(6): 914-917.
27.	劉瓊, 江云英. 序貫式雙肺移植術的手術配合與護理. 臨床護理雜志, 2007, 6: 46-47.
28.	黃瑞萍, 陳瑩, 王鳳娟, 等. 肺移植手術準備與配合. 廣東醫學, 2003, 24(11): 1261-1262.
29.	周麗萍, 盛玲, 王鳳珠. 24例體外膜肺氧合輔助下序貫式雙肺移植術的配合. 中國醫藥指南, 2013, 11(3): 36-37.
30.	Dong L, Mizota T, Tanaka T, et al. Off-pump bilateral cadaveric lung transplantation is associated with profound intraoperative hypothermia. J Cardiothorac Vasc Anesth, 2016, 30(4): 924-929.
31.	Suleiman LI, Mesko DR, Nam D. Intraoperative considerations for treatment/prevention of prosthetic joint infection. Curr Rev Musculoskelet Med, 2018, 11(3): 401-408.
32.	彭靜珂. 無菌手術術中感染危險因素調查研究. 中國實用醫藥, 2016, 11(6): 291-292.
33.	宋昭君, 張為華, 倪衛東. 骨科無菌手術切口感染原因分析與對策. 重慶醫學, 2011, 40(35): 3636-3637.
34.	Roderick P, Ferris G, Wilson K, et al. Towards evidence-based guidelines for the prevention of venous thromboembolism: Systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis. Health Technol Assess, 2005, 9(49): 1i-78i.
35.	Davis P, O'Neill C. The potential benefits of intermittent pneumatic compression in the prevention of deep venous thrombosis. J Orthopaed Nurs, 2002, 6(2): 95-100.
36.	中華醫學會麻醉學分會. 圍術期肺動脈導管臨床專家共識. 臨床麻醉學雜志, 2009, 25(3): 196-199.
37.	中華醫學會器官移植學分會. 中國肺移植麻醉技術操作規范(2019版). 中華移植雜志(電子版), 2020, 14(2): 75-78.
38.	圍術期經食道超聲心動圖監測專家共識工作組. 圍術期經食管超聲心動圖監測專家共識(2020版). 中華麻醉學雜志, 2020, 40(12): 1409-1417.
39.	Cartwright BL, Jackson A, Cooper J. Intraoperative pulmonary vein examination by transesophageal echocardiography: An anatomic update and review of utility. J Cardiothorac Vasc Anesth, 2013, 27(1): 111-120.
40.	侯飛艷, 田馨怡, 蔡益民, 等. 新型氣管導管固定裝置在經口氣管插管"雙固定"中的效果研究. 中國實用護理雜志, 2021, 37(9): 678-683.
41.	Wand O, Unterman A, Izhakian S, et al. Mucormycosis in lung transplant recipients: A systematic review of the literature and a case series. Clin Transplant, 2020, 34(2): e13774.
42.	Serpa Neto A, Cardoso SO, Manetta JA, et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: A meta-analysis. JAMA, 2012, 308(16): 1651-1659.
43.	張衛, 鄭宏, 董海龍, 等. 圍術期患者轉運專家共識(2020版). URL: https://mp.weixin.qq.com/s/-M4JYfUqZZwcBrifB_wLhw [2021-08-18].
44.	von Dossow V, Zwissler B. Recommendations of the German Association of Anesthesiology and Intensive Care Medicine (DGAI) on structured patient handover in the perioperative setting: The SBAR concept. Anaesthesist, 2016, 65(Suppl 1): 1-4.
45.	Klein AA, Meek T, Allcock E, et al. Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists. Anaesthesia, 2021, 76(9): 1212-1223.

1. van der Mark SC, Hoek RAS, Hellemons ME. Developments in lung transplantation over the past decade. Eur Respir Rev, 2020, 29(157): 190132.
2. 中華醫學會器官移植學分會, 國家肺移植質量管理與控制中心. 中國肺移植供體標準及獲取轉運指南. 器官移植, 2018, 9(5): 325-333.
3. 邱洪波, 閆文靜, 張琳娟, 等. 心臟死亡器官捐獻供肺獲取的手術配合. 護理實踐與研究, 2016, 13(15): 82-83.
4. van Leeuwen OB, Brüggenwirth IMA, de Kleine RHJ, et al. Machine perfusion of donation after circulatory death liver and lungs before combined liver-lung transplantation. Transplant Direct, 2021, 7(7): e718.
5. Yeung JC, Krueger T, Yasufuku K, et al. Outcomes after transplantation of lungs preserved for more than 12 h: A retrospective study. Lancet Respir Med, 2017, 5(2): 119-124.
6. Steen S, Ingemansson R, Eriksson L, et al. First human transplantation of a nonacceptable donor lung after reconditioning ex vivo. Ann Thorac Surg, 2007, 83(6): 2191-2194.
7. 劉立明, 周新民, 胡建國, 等. 改良 LPD 液在心肺聯合移植術中的肺保護作用. 中南大學學報: 醫學版, 2005, 30(2): 215-216.
8. Solidoro P, Schreiber A, Boffini M, et al. Improving donor lung suitability: From protective strategies to ex-vivo reconditioning. Minerva Med, 2016, 107(3 Suppl 1): 7-11.
9. Schultze BS. Fluid management in lung transplant patients. Nurs Clin North Am, 2017, 52(2): 301-308.
10. Arnaoutakis GJ, Allen JG, Merlo CA, et al. Low potassium dextran is superior to University of Wisconsin solution in high-risk lung transplant recipients. J Heart Lung Transplant, 2010, 29(12): 1380-1387.
11. Marasco SF, Bailey M, McGlade D, et al. Effect of donor preservation solution and survival in lung transplantation. J Heart Lung Transplant, 2011, 30(4): 414-419.
12. Warnecke G, Van Raemdonck D, Smith MA, et al. Normothermic ex-vivo preservation with the portable Organ Care System Lung device for bilateral lung transplantation (INSPIRE): A randomised, open-label, non-inferiority, phase 3 study. Lancet Respir Med, 2018, 6(5): 357-367.
13. Copeland H, Hayanga JWA, Neyrinck A, et al. Donor heart and lung procurement: A consensus statement. J Heart Lung Transplant, 2020, 39(6): 501-517.
14. Kotloff RM, Blosser S, Fulda GJ, et al. Management of the potential organ donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement. Crit Care Med, 2015, 43(6): 1291-1325.
15. 中華醫學會器官移植學分會. 中國肺移植供肺獲取與保護技術規范(2019版). 中華移植雜志(電子版), 2019, 13(2): 87-90.
16. Cardini B, Oberhuber R, Fodor M, et al. Clinical implementation of prolonged liver preservation and monitoring through normothermic machine perfusion in liver transplantation. Transplantation, 2020, 104(9): 1917-1928.
17. Gloria JN, Yerxa J, Kesseli SJ, et al. Subnormothermic ex vivo lung perfusion attenuates graft inflammation in a rat transplant model. J Thorac Cardiovasc Surg, 2022, 164(2): e59-e70.
18. 蔡英華, 姚勇, 主編. 肺移植臨床護理實踐. 南京: 東南大學出版社, 2021. 32-36.
19. 唐莉, 曾俊. 介紹一種簡易自制肝移植灌注管的方法. 護士進修雜志, 2010, 25(14): 1259.
20. Han XW, Zhang XD, Wang Y, et al. Short- and long-term outcomes of kidney transplants with kidneys lavaged by retrograde perfusion technique. Chronic Dis Transl Med, 2015, 1(3): 163-168.
21. 李坤坤, 周靜靜, 張偉, 等. 轉運團隊在優化ICU體外膜肺氧合患者院內安全轉運的效果探究. 右江民族醫學院學報, 2021, 43(3): 434-438.
22. Dixon JL, Stagg HW, Wehbe-Janek H, et al. A standard handoff improves cardiac surgical patient transfer: Operating room to intensive care unit. J Healthc Qual, 2015, 37(1): 22-32.
23. 農玉荷, 李壯江, 奏科, 等. 急危重癥患者ECMO支持下院內轉運的護理. 護理學雜志, 2017, 32(8): 36-37.
24. 黃菊. 手術室患者轉運和交接的改進在手術室安全管理中的應用. 世界最新醫學信息文摘(連續型電子期刊), 2019, 19(53): 263-264.
25. 郭莉, 主編. 手術室護理實踐指南(2021年版). 北京: 人民衛生出版社, 2021. 24-26.
26. 張雪飛, 宋玲, 張丹羽. 多學科合作在預防患者體外膜肺氧合輔助期間下肢壓力性損傷中的應用. 中國醫藥, 2019, 14(6): 914-917.
27. 劉瓊, 江云英. 序貫式雙肺移植術的手術配合與護理. 臨床護理雜志, 2007, 6: 46-47.
28. 黃瑞萍, 陳瑩, 王鳳娟, 等. 肺移植手術準備與配合. 廣東醫學, 2003, 24(11): 1261-1262.
29. 周麗萍, 盛玲, 王鳳珠. 24例體外膜肺氧合輔助下序貫式雙肺移植術的配合. 中國醫藥指南, 2013, 11(3): 36-37.
30. Dong L, Mizota T, Tanaka T, et al. Off-pump bilateral cadaveric lung transplantation is associated with profound intraoperative hypothermia. J Cardiothorac Vasc Anesth, 2016, 30(4): 924-929.
31. Suleiman LI, Mesko DR, Nam D. Intraoperative considerations for treatment/prevention of prosthetic joint infection. Curr Rev Musculoskelet Med, 2018, 11(3): 401-408.
32. 彭靜珂. 無菌手術術中感染危險因素調查研究. 中國實用醫藥, 2016, 11(6): 291-292.
33. 宋昭君, 張為華, 倪衛東. 骨科無菌手術切口感染原因分析與對策. 重慶醫學, 2011, 40(35): 3636-3637.
34. Roderick P, Ferris G, Wilson K, et al. Towards evidence-based guidelines for the prevention of venous thromboembolism: Systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis. Health Technol Assess, 2005, 9(49): 1i-78i.
35. Davis P, O'Neill C. The potential benefits of intermittent pneumatic compression in the prevention of deep venous thrombosis. J Orthopaed Nurs, 2002, 6(2): 95-100.
36. 中華醫學會麻醉學分會. 圍術期肺動脈導管臨床專家共識. 臨床麻醉學雜志, 2009, 25(3): 196-199.
37. 中華醫學會器官移植學分會. 中國肺移植麻醉技術操作規范(2019版). 中華移植雜志(電子版), 2020, 14(2): 75-78.
38. 圍術期經食道超聲心動圖監測專家共識工作組. 圍術期經食管超聲心動圖監測專家共識(2020版). 中華麻醉學雜志, 2020, 40(12): 1409-1417.
39. Cartwright BL, Jackson A, Cooper J. Intraoperative pulmonary vein examination by transesophageal echocardiography: An anatomic update and review of utility. J Cardiothorac Vasc Anesth, 2013, 27(1): 111-120.
40. 侯飛艷, 田馨怡, 蔡益民, 等. 新型氣管導管固定裝置在經口氣管插管"雙固定"中的效果研究. 中國實用護理雜志, 2021, 37(9): 678-683.
41. Wand O, Unterman A, Izhakian S, et al. Mucormycosis in lung transplant recipients: A systematic review of the literature and a case series. Clin Transplant, 2020, 34(2): e13774.
42. Serpa Neto A, Cardoso SO, Manetta JA, et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: A meta-analysis. JAMA, 2012, 308(16): 1651-1659.
43. 張衛, 鄭宏, 董海龍, 等. 圍術期患者轉運專家共識(2020版). URL: https://mp.weixin.qq.com/s/-M4JYfUqZZwcBrifB_wLhw [2021-08-18].
44. von Dossow V, Zwissler B. Recommendations of the German Association of Anesthesiology and Intensive Care Medicine (DGAI) on structured patient handover in the perioperative setting: The SBAR concept. Anaesthesist, 2016, 65(Suppl 1): 1-4.
45. Klein AA, Meek T, Allcock E, et al. Recommendations for standards of monitoring during anaesthesia and recovery 2021: Guideline from the Association of Anaesthetists. Anaesthesia, 2021, 76(9): 1212-1223.

Next Article
Fighting for further long-term survival rate after liver transplantation in China

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Expert consensus on lung transplantation nursing (version 2022)

Abstract Full text Figures/Tables Video References Cited by

Next Article

Format

Content