ArticleBMC anesthesiology2026
Anesthesia practices for lung transplantation in China: a nationwide survey.
Article in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundLimited information is available regarding the current state of anesthetic practices in lung transplantation (LTx) anesthesia across China. A nationwide questionnaire survey was conducted to investigate the issue in LTx anesthesia practice.
methodsA descriptive, cross-sectional study was performed using a multi-center online questionnaire. The survey covered various aspects, including respondent training experiences in LTx anesthesia, utilization of advanced devices/techniques during LTx anesthesia, perceived clinical views, and challenges of LTx anesthesia.
resultsA total of 168 valid responses were collected from anesthesiologists involved in LTx anesthesia across 44 hospitals in China, with a questionnaire completion proportion of 78.87%. Among the respondents, 60.12% (n=101) received formal LTx anesthesia training, while 63.69% (n=107) had participated in fewer than 10 LTx cases; 90.09% (n=91) of those who received training completed programs lasting less than six months. Cross-disciplinary expertise in other transplant anesthesia was reported by 92.86% (n=156) of respondents. Advanced devices/techniques were widely utilized, including extracorporeal membrane oxygenation (ECMO, 97.62%, n = 164), Swan-Ganz catheters (95.24%, n = 160), and transesophageal echocardiography (TEE, 87.50%, n = 147); however, some anesthesiologists still lacked hands-on experience. LTx anesthesia was identified as the most challenging transplant scenario by 68.45% (n=115) of respondents, and over 92% (n=155) supported the establishment of a national LTx anesthesia database.
conclusionsAdvanced technologies in LTx anesthesia have been widely adopted in China, yet persistent skill gaps, fragmented training, and institutional disparities remain. Structured, simulation-enhanced training pathways and centralized outcome tracking are strongly recommended to address LTx-specific competency challenges. Establishing a national LTx anesthesia database is broadly supported to standardize practices, and urgent implementation of regional simulation hubs and competency certification is pivotal for improving perioperative outcomes of LTx.
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