Perioperative Management of the Liver Transplant Recipient
| Autor: | Sarah J. Frogge, Manpreet Chadha, David J. Kramer, Eric M. Siegal |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Nephrology medicine.medical_specialty Resuscitation Intensivist Critical Care Nursing Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Perioperative Nursing Internal medicine Humans Medicine Intensive care medicine Aged Aged 80 and over Patient Care Team Perioperative management business.industry Iatrogenic injury 030208 emergency & critical care medicine General Medicine Middle Aged Liver Transplantation Liver transplant recipient 030228 respiratory system Practice Guidelines as Topic Female business Liver Failure Respiratory care |
| Zdroj: | Critical Care Clinics. 35:95-105 |
| ISSN: | 0749-0704 |
| DOI: | 10.1016/j.ccc.2018.08.012 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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