Challenges and considerations in anaesthetic management of patients with past double lung transplant for non-pulmonary surgeries

We highlight the difficulties in managing anaesthesia for post-double lung transplantation patients undergoing non-pulmonary surgeries. These patients pose several unique challenges due to their medical history and require a comprehensive and collaborative approach to achieve a positive outcome.

We describe the case of a 38-year-old male booked for renal transplant with a past medical history of double lung transplantation due to cystic fibrosis, sleep apnoea, cystic fibrosis-associated diabetes, hypertension, sinusitis, osteoporosis, iron deficiency anaemia, spinal fractures, and recurring chest infections.