Intestinal transplantation in pediatric patients: a nursing challenge. Part 2: Intestinal transplantation and the immediate postoperative period.
Intestinal transplantation offers new hope to children with intestinal failure and life-threatening complications of parenteral nutrition. As more transplant centers are adding intestinal transplantation to their existing programs, new challenges are presented to nursing professionals. This three-part series will provide information for nursing professionals regarding evaluation for intestinal transplantation, donor preparation, the surgical procedure, immediate postoperative care of the transplant recipient, and long-term care of the intestinal transplant recipient. This article focuses on donor selection and preparation, the surgical procedure for intestinal transplantation, the immediate postoperative course, immunosuppression, rejection, infections, fluid and electrolyte support, and nutrition. The information presented represents the approach taken at University of Nebraska Medical Center/Nebraska Health Systems.
Andersen
D
D
Nebraska Health Systems/University of Nebraska Medical Center, Organ Transplantation, 983285 Nebraska Medical Center, Omaha, NE 68198-3285, USA. dandersen@surgery.unmc.edu
DeVoll-Zabrocki
A
A
Brown
C
C
Iverson
A
A
Larsen
J
J
D000359:Aftercare / Q000379:methods; D002648:Child; D005440:Fluid Therapy / Q000379:methods / Q000451:nursing; D006084:Graft Rejection / Q000209:etiology / Q000451:nursing / Q000517:prevention & control; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects / Q000379:methods / Q000451:nursing; D017053:Infection Control / Q000379:methods; D007422:Intestines / Q000637:transplantation*; D008134:Long-Term Care / Q000379:methods; D008403:Mass Screening / Q000379:methods; D009730:Nursing Assessment / Q000379:methods; D010371:Pediatric Nursing / Q000379:methods*; D011182:Postoperative Care / Q000379:methods* / Q000451:nursing*; D011183:Postoperative Complications / Q000209:etiology / Q000451:nursing / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods; D014019:Tissue Donors