Abstract
Lung transplantation has been established as an useful therapy for end-stage lung diseases. The postoperative management of lung transplantation plays an important role on the survival of individual recipient. This review discussed the postoperative management for lung transplantation in ICU. The important points for early postoperative care of lung transplantation are the early detection of acute rejection, the prevention or treatment of infection, the ventilatory support and weaning, the immunosuppression, and the avoidance of reperfusion and ventilator associated lung injury. To achieve these purposes, we should know the preoperative state of recipient and concomitantly understand the physiology of the transplanted lung. Furthermore, the hemodynamic management to prevent lung edema and pulmonary hypertension is important. Recipients with primary pulmonary hypertension need more careful management for remaining hypertention and unstable circulation.
