A lung transplant donor should meet certain criteria to ensure optimum function and survival for the recipient.
Parameters
Selection
age in years
< 45 years for heart-lung; < 65 years for lung only
chest trauma
not severe (none, mild, moderate)
cardiac arrest
not prolonged (heart-lung only)
infection
absent
chest X-ray
clear
PaO2
> 100 mm Hg on 40% O2; > 350 mm Hg on 100% O2
pulmonary secretions
minimal
HIV screen
negative
ABO type
compatible
crossmatch with recipient's serum
chest size and total lung capacity
similar to recipient
tracheobronchial diameter
same as recipient
where:
• The age limits are from the 1993 ATS recommendations. Earlier reports used younger cutoffs (< 35 years for heart-lung and < 55 years for lung only).
• Griffith and Zenati use PaO2 > 300 mm Hg on 100% oxygen as the cutoff.
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Specialty: Pulmonology, Surgery, general
