Lung Transplant Process

Potential recipient identified by a treating doctor / pulmonologist

Patient referred to Lung transplant (LT) Team at Medanta

Patient screened in the OPD by Medanta LT Team

If considered fit for evaluation, admitted to the ward for detailed Lung Transplant Evaluation

Multi-disciplinary board analyzes the LT evaluation results. Those meeting all criteria, with no contraindications are accepted for LT & procedure explained to patient and family

Those accepting the same, are listed at NOTTO site & requested to shift near to Medanta, waiting for a Lung offer

When a donor lung offer comes, the donor details are matched with our recipients on the NOTTO wait list (blood group, height and lung volume) and if matched, Multi-disciplinary board analyzes the LT evaluation results. Those meeting all criteria, with no contraindications are accepted for LT & procedure explained to patient and family

NOTTO looks at claims from various hospitals and allots Lungs based on seniority and geographical proximity between donor and recipient hospitals

When lungs are allotted to us, Retrieval Team (Surgeons, Coordinator, OT Nurse) goes to donor hospital with all the equipment

If lungs acceptable, the same are retrieved, preserved by a special technique and the team returns by the fastest route

In the meantime, the Recipient Team at Medanta (pulmonologist, surgeons, anaesthetists, coordinators) calls recipient in, does a quick check, admits and shifts to OT for Surgery

By the time the Retrieval team returns to Medanta, the Recipient team at Medanta has prepared the Chest for LT

The Lung Transplant is carried out immediately under ECMO support

At the end of Lung Transplant, the ECMO is gradually weaned off and patient shifted to ICU under ventilator support

After extubation, patient shifted to ward, intensive rehabilitation continued, discharged to home care