ISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation: Part I: Preoperative Considerations

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 50 recommendations regarding preoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the criteria for preoperative ECLS as well as select multidisciplinary team management considerations throughout the entire preoperative phase.

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Publication Details

Journal
The Journal of Heart and Lung Transplantation
Published
2025-10-18
DOI
https://doi.org/10.1016/j.healun.2025.07.033
Citations
5
Primary Topic
Transplantation: Methods and Outcomes
Type
article
Field-Weighted Citation Impact
10.03
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article

ISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation: Part I: Preoperative Considerations

Jasleen Kukreja, Göran Dellgren, Theresa A. Gelzinis, Konrad Höetzenecker et al.
5 citations
The Journal of Heart and Lung Transplantation
Transplantation: Methods and Outcomes
10.03
article

ISHLT Consensus Statement on the Perioperative use of ECLS in Lung Transplantation: Part I: Preoperative Considerations

Jasleen Kukreja, Göran Dellgren, Theresa A. Gelzinis, Konrad Höetzenecker, Siavosh Saatee, Basil Nasir, Melissa Sanchez, Barbara Wilkey, Julien Fessler, Brandi Bottiger, Keith Wille, Bronwyn Levvey, James Walsh, Nándor Marczin, Sandra Lindstedt, Archer Kilbourne Martin, Kavita Dave, M.G. Schecter, Juergen Behr, Ashley Virginia Fritz, Haifa Lyster, Olaf Mercier, Sakhee Kotecha, C. Orla Morrissey, Marcelo Cypel, David Gómez de Antonio, Anna Reed, Caroline Landry
article en
5 citations

Abstract

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 50 recommendations regarding preoperative considerations for ECLS in lung transplantation met consensus criteria. These recommendations focus on the criteria for preoperative ECLS as well as select multidisciplinary team management considerations throughout the entire preoperative phase.

The Journal of Heart and Lung TransplantationVol. 45(1)
University Health Network (CA), Duke University (US), University of California, San Francisco (US), Lund University (SE), Université de Versailles Saint-Quentin-en-Yvelines (FR), Guy's and St Thomas' NHS Foundation Trust (GB), Royal Brompton & Harefield NHS Foundation Trust (GB), Sahlgrenska University Hospital (SE), Jacksonville College (US), The Alfred Hospital (AU), University of Alabama at Birmingham (US), University of Florida (US), Monash Alfred Psychiatry Research centre (AU), Hospital Universitario Puerta de Hierro Majadahonda (ES), Hôpital Marie Lannelongue (FR), Kensington Health (CA), Prince Charles Hospital (AU), German Center for Lung Research (DE), University of Pittsburgh Medical Center (US), Centre Hospitalier de l’Université de Montréal (CA), Mayo Clinic in Florida (US), Duke University Hospital (US), Hôpital Foch (FR), Alfred Health (AU), University of Colorado Anschutz Medical Campus (US), Monash University (AU), Université de Montréal (CA), Ludwig-Maximilians-Universität München (DE), The University of Texas Southwestern Medical Center (US), Vanderbilt University Medical Center (US)
Openalex Percentile: Top 2%
Transplantation: Methods and Outcomes
10.03
DOIOpen Access PDFOpenAlex
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