Current approach to intraoperative monitoring in liver transplantation.
OBJECTIVE
Although liver transplantation has become a standardized treatment and the only established definite therapy for end-stage liver disease it remains a unique clinical procedure. Increased understanding of the specific pathophysiological changes in end-stage liver disease and the transplantation procedure have led to the adaptation of concepts including overall monitoring of the patient and assessment of specific organ function.


RESULTS
Major emphasis is placed on adequate monitoring during perioperative care of liver transplantation patients in order to ensure optimal hemodynamic and respiratory performance. The immediate assessment of metabolism and graft function will also serve to guide therapy according to the individual patient's needs.


CONCLUSIONS
The evolution of monitoring during standardized liver transplantation, as well as currently recommended novel devices and concepts, are described and discussed.
Krenn
Claus-Georg
CG
Department of Anaesthesia, General Intensive Care and Pain Medicine, Medical University of Vienna, Vienna, Austria. claus.krenn@meduniwien.ac.at
De Wolf
Andre M
AM
D000136:Acid-Base Equilibrium; D004573:Electrolytes / Q000097:blood; D006439:Hemodynamics; D006801:Humans; D008102:Liver Circulation; D008111:Liver Function Tests; D016031:Liver Transplantation / Q000502:physiology*; D016343:Monitoring, Intraoperative; D013696:Temperature
D004573:Electrolytes