Living related small bowel transplantation: anaesthesia and peri-operative care.
The peri-operative management of the only surviving case, to date, of living-related small bowel transplantation is described. The anaesthetic technique was chosen to optimize hepato-splanchnic blood flow. Peri-operative splanchnic blood flow was measured and alterations in flow with changes in inotropic agents and volume loading monitored. There appears to be a role for the use of dopexamine and aggressive volume loading.
Bellamy
M C
MC
Department of Anaesthesia and Intensive Therapy, St James's University Hospital, Leeds, UK.
Enright
S M
SM
Young
Y
Y
Pollard
S
S
Lodge
P
P
O'Beirne
H A
HA
D000328:Adult; D000769:Anesthesia, Inhalation; D001810:Blood Volume; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000637:transplantation*; D007430:Intraoperative Care; D008875:Middle Aged; D013152:Splanchnic Circulation / Q000502:physiology; D014019:Tissue Donors; D014463:Ultrasonography