Guidelines and principles for the care of the cardiothoracic transplant patient in the intensive care unit

Clin Transplant. 2023 Jun;37(6):e14978. doi: 10.1111/ctr.14978. Epub 2023 Mar 25.

Abstract

Heart and lung transplant recipients require care provided by clinicians from multiple different specialties, each contributing unique expertise and perspective. The period the patient spends in the intensive care unit is one of the most critical times in the perioperative trajectory. Various organizational models of intensive care exist, including those led by intensivists, surgeons, transplant cardiologists, and pulmonologists. Coordinating timely efficient intensive care is an essential and logistically difficult goal. The present work product of the American Society of Transplantation's Thoracic and Critical Care Community of Practice, Critical Care Task Force outlines operational guidelines and principles that may be applied in different organizational models to optimize the delivery of intensive care for the cardiothoracic organ recipient.

Keywords: communication; coordination; handoff; heart transplantation; intensive care; lung transplantation; teamwork.

MeSH terms

  • Critical Care
  • Humans
  • Intensive Care Units*
  • Perioperative Care
  • Surgeons*