Perioperative management of the liver transplant recipient

Authors

David Kramer, Advocate Aurora HealthFollow
Eric Siegal, Advocate Aurora HealthFollow
Sarah J. Frogge, Advocate Aurora HealthFollow
Manpreet Chadha, Advocate Aurora HealthFollow

Recommended Citation

Kramer DJ, Siegal EM, Frogge SJ, Chadha MS. Perioperative Management of the Liver Transplant Recipient. Crit Care Clin. 2019;35(1):95-105. doi: 10.1016/j.ccc.2018.08.012.

Affiliations

Aurora Critical Care Service, Advocate Aurora Health Care, Aurora Abdominal Transplant and Hepatobiliary Program

Abstract

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.

Document Type

Article

PubMed ID

30447783