Title

Perioperative management of the liver transplant recipient

Aurora Affiliations

Aurora Critical Care Service, Advocate Aurora Health Care, Aurora Abdominal Transplant and Hepatobiliary Program

Abstract

Perioperative management of the liver transplant recipient is a team effort that requires close collaboration between intensivist, surgeon, anesthesiologist, hepatologist, nephrologist, other specialists, and hospital staff before and after surgery. Transplant viability must be reassessed regularly and particularly with each donor organ. Regular discussions with patient and family facilitate realistic determinations of goals based on patient aspirations and clinical realities. Early attention to hemodynamics with optimal resuscitation and judicious vasopressor support, respiratory care designed to minimize iatrogenic injury, and early renal support is key. Preoperative and postoperative nutritional support and physical rehabilitation should remain a focus.

Document Type

Article

PubMed ID

30447783

DOI

doi: 10.1016/j.ccc.2018.08.012

Link to Full Text

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