Lung Transplant Critical Care

Lung Transplant Critical Care

Transplant Critical Care Series

The transplanted lung is uniquely unforgiving — fragile allograft physiology, denervated airways, and high infection risk, all exposed to the outside world with every breath. Outcomes hinge on getting both the first hours and the following years right. This book is built for that full arc: a comprehensive, exam-ready reference that carries you from candidate selection through long-term surveillance with real clinical depth.

What’s inside

• Pre-transplant ICU foundations — candidate evaluation, LAS, bridging and ECMO for PAH crises, recipient optimisation, and delisting
• Donor & peri-transplant course — donor assessment, extended-criteria and DCD, EVLP, ischaemia-reperfusion, and PGD grading
• Immediate postoperative management — the first 24 hours, the PGD pathway, ventilator strategy, RV dysfunction, and bleeding
• Airway & native lung complications — anastomotic dehiscence and stenosis, and pleural space issues
• Immunosuppression & rejection — including CLAD, the defining long-term threat
• Infection in the immunosuppressed recipient — a dedicated risk-staged approach
• Multiorgan & later complications — renal, neurological, nutritional, and pulmonary decline
• Special scenarios — paediatric and living-donor lobar transplantation, combined heart-lung, ethics and end-of-life care
• Tiered review in every chapter — 20 questions graded Easy / Moderate / Difficult

Educational reference only — always follow your unit’s local protocols and clinical judgement.

By Dr. Gunadhar Padhi — Chief Intensivist, HN Reliance Foundation Hospital, Mumbai.