ArticleTranslational pediatrics2026
Anesthetic management for double lung transplantation in an 8-year-old male with extreme malnutrition (BMI 11.4 kg/m
Article in Translational pediatrics, 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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Abstract
Background: Severe malnutrition is a prevalent comorbidity in pediatric lung transplantation (LTx) and is historically considered as a relative contraindication due to high perioperative mortality. While current guidelines emphasize the hazards of a low body mass index (BMI), literature detailing specific anesthetic strategies for severely malnourished patients remains limited. This report delineates an anesthetic protocol designed to safely navigate a candidate with an extremely low BMI through surgical stress, demonstrating the clinical value of precision management over rigid anthropometric cutoffs. Case Description: An 8-year-old male with end-stage bronchiolitis obliterans syndrome (BOS) following hematopoietic stem cell transplantation (HSCT) presented for double LTx. The chief complaint was progressive chest tightness and dyspnea for 11 months, 3 years post HSCT. He exhibited profound somatic depletion with an extremely low BMI of 11.4 kg/m Conclusions: Successfully navigating pediatric LTx in cases of extreme malnutrition (BMI <16 kg/m
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