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：

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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.	中华医学会器官移植学分会, 国家肺移植质量管理与控制中心. 中国肺移植供体标准及获取转运指南. 器官移植, 2018, 9(5): 325-333.
3.	邱洪波, 闫文静, 张琳娟, 等. 心脏死亡器官捐献供肺获取的手术配合. 护理实践与研究, 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.	刘立明, 周新民, 胡建国, 等. 改良 LPD 液在心肺联合移植术中的肺保护作用. 中南大学学报: 医学版, 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.	中华医学会器官移植学分会. 中国肺移植供肺获取与保护技术规范(2019版). 中华移植杂志(电子版), 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.	蔡英华, 姚勇, 主编. 肺移植临床护理实践. 南京: 东南大学出版社, 2021. 32-36.
19.	唐莉, 曾俊. 介绍一种简易自制肝移植灌注管的方法. 护士进修杂志, 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, 周静静, 张伟, 等. 转运团队在优化ICU体外膜肺氧合患者院内安全转运的效果探究. 右江民族医学院学报, 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.	农玉荷, 李壮江, 奏科, 等. 急危重症患者ECMO支持下院内转运的护理. 护理学杂志, 2017, 32(8): 36-37.
24.	黄菊. 手术室患者转运和交接的改进在手术室安全管理中的应用. 世界最新医学信息文摘(连续型电子期刊), 2019, 19(53): 263-264.
25.	郭莉, 主编. 手术室护理实践指南(2021年版). 北京: 人民卫生出版社, 2021. 24-26.
26.	张雪飞, 宋玲, 张丹羽. 多学科合作在预防患者体外膜肺氧合辅助期间下肢压力性损伤中的应用. 中国医药, 2019, 14(6): 914-917.
27.	刘琼, 江云英. 序贯式双肺移植术的手术配合与护理. 临床护理杂志, 2007, 6: 46-47.
28.	黄瑞萍, 陈莹, 王凤娟, 等. 肺移植手术准备与配合. 广东医学, 2003, 24(11): 1261-1262.
29.	周丽萍, 盛玲, 王凤珠. 24例体外膜肺氧合辅助下序贯式双肺移植术的配合. 中国医药指南, 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.	彭静珂. 无菌手术术中感染危险因素调查研究. 中国实用医药, 2016, 11(6): 291-292.
33.	宋昭君, 张为华, 倪卫东. 骨科无菌手术切口感染原因分析与对策. 重庆医学, 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.	中华医学会麻醉学分会. 围术期肺动脉导管临床专家共识. 临床麻醉学杂志, 2009, 25(3): 196-199.
37.	中华医学会器官移植学分会. 中国肺移植麻醉技术操作规范(2019版). 中华移植杂志(电子版), 2020, 14(2): 75-78.
38.	围术期经食道超声心动图监测专家共识工作组. 围术期经食管超声心动图监测专家共识(2020版). 中华麻醉学杂志, 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.	侯飞艳, 田馨怡, 蔡益民, 等. 新型气管导管固定装置在经口气管插管"双固定"中的效果研究. 中国实用护理杂志, 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.	张卫, 郑宏, 董海龙, 等. 围术期患者转运专家共识(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. 中华医学会器官移植学分会, 国家肺移植质量管理与控制中心. 中国肺移植供体标准及获取转运指南. 器官移植, 2018, 9(5): 325-333.
3. 邱洪波, 闫文静, 张琳娟, 等. 心脏死亡器官捐献供肺获取的手术配合. 护理实践与研究, 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. 刘立明, 周新民, 胡建国, 等. 改良 LPD 液在心肺联合移植术中的肺保护作用. 中南大学学报: 医学版, 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. 中华医学会器官移植学分会. 中国肺移植供肺获取与保护技术规范(2019版). 中华移植杂志(电子版), 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. 蔡英华, 姚勇, 主编. 肺移植临床护理实践. 南京: 东南大学出版社, 2021. 32-36.
19. 唐莉, 曾俊. 介绍一种简易自制肝移植灌注管的方法. 护士进修杂志, 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, 周静静, 张伟, 等. 转运团队在优化ICU体外膜肺氧合患者院内安全转运的效果探究. 右江民族医学院学报, 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. 农玉荷, 李壮江, 奏科, 等. 急危重症患者ECMO支持下院内转运的护理. 护理学杂志, 2017, 32(8): 36-37.
24. 黄菊. 手术室患者转运和交接的改进在手术室安全管理中的应用. 世界最新医学信息文摘(连续型电子期刊), 2019, 19(53): 263-264.
25. 郭莉, 主编. 手术室护理实践指南(2021年版). 北京: 人民卫生出版社, 2021. 24-26.
26. 张雪飞, 宋玲, 张丹羽. 多学科合作在预防患者体外膜肺氧合辅助期间下肢压力性损伤中的应用. 中国医药, 2019, 14(6): 914-917.
27. 刘琼, 江云英. 序贯式双肺移植术的手术配合与护理. 临床护理杂志, 2007, 6: 46-47.
28. 黄瑞萍, 陈莹, 王凤娟, 等. 肺移植手术准备与配合. 广东医学, 2003, 24(11): 1261-1262.
29. 周丽萍, 盛玲, 王凤珠. 24例体外膜肺氧合辅助下序贯式双肺移植术的配合. 中国医药指南, 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. 彭静珂. 无菌手术术中感染危险因素调查研究. 中国实用医药, 2016, 11(6): 291-292.
33. 宋昭君, 张为华, 倪卫东. 骨科无菌手术切口感染原因分析与对策. 重庆医学, 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. 中华医学会麻醉学分会. 围术期肺动脉导管临床专家共识. 临床麻醉学杂志, 2009, 25(3): 196-199.
37. 中华医学会器官移植学分会. 中国肺移植麻醉技术操作规范(2019版). 中华移植杂志(电子版), 2020, 14(2): 75-78.
38. 围术期经食道超声心动图监测专家共识工作组. 围术期经食管超声心动图监测专家共识(2020版). 中华麻醉学杂志, 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. 侯飞艳, 田馨怡, 蔡益民, 等. 新型气管导管固定装置在经口气管插管"双固定"中的效果研究. 中国实用护理杂志, 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. 张卫, 郑宏, 董海龙, 等. 围术期患者转运专家共识(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.

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