Intraoperative anaesthetic management of the liver transplant patient.
Orthotopic liver transplantation has become an established method of treating end-stage liver disease. Anaesthesia for patients undergoing this procedure can be complicated because end-stage liver disease is often associated with dysfunction of other physiological systems. Rapid haemodynamic, metabolic and coagulation changes can occur intraoperatively requiring aggressive haemodynamic monitoring backed by on-line laboratory facilities. The increased understanding of the pathophysiology of the procedure and the use of dedicated rapid infusion systems and intraoperative blood salvage have helped to improve the intraoperative management of the liver transplant patient. Co-operation and communication between the blood bank, haematology, biochemistry, surgical and anaesthesia services are vital.
Lai
F O
FO
Department of Anaesthesia, National University Hospital, Singapore.
Lee
T L
TL
Kumar
A
A
D000136:Acid-Base Equilibrium; D000758:Anesthesia / Q000379:methods*; D001780:Blood Coagulation Tests; D001786:Blood Glucose / Q000032:analysis; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D001831:Body Temperature; D002320:Cardiovascular Physiological Phenomena; D004573:Electrolytes / Q000097:blood; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D007668:Kidney / Q000502:physiology; D016031:Liver Transplantation / Q000379:methods* / Q000502:physiology; D016343:Monitoring, Intraoperative / Q000379:methods
D001786:Blood Glucose; D004573:Electrolytes