ANESTHESIE EN TRANSPLANTATIE

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27-11-2010 LONGTRANSPLANTATIE • Specifieke intraoperatieve problemen – Pulmonale hypertensie en rechter ventrikel falen • zie „harttransplantatie‟ – Monitoring van gemengd veneuze saturatie – Protective ventilation protocols – Gecontroleerde reexpansie van de getransplanteerde long – Reperfusie schade met massief longoedeem • gebruik van ECMO – TRALI LONGTRANSPLANTATIE PA clamp PVR Left ventricular filling Cardiac output published LA clamp Left ventricular filling Cardiac output 38
27-11-2010 LONGTRANSPLANTATIE • Reperfusie schade Grade PaO2/FiO2 Rx infiltrates: ~ pulmonary edema 0 >300 Absent 1 >300 Present 2 200–300 Present 3
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