Anesthesia approach to hepatic transplantation.

Abstract:

:Anesthesia support for patients undergoing orthotopic liver transplantation can be complicated because of multiple medical problems in such patients and rapid hemodynamic, metabolic, and coagulation changes intraoperatively. Preoperative assessment should include careful review of the cardiovascular, respiratory, and hematologic systems. Use of isoflurane as the main anesthetic agent will minimize toxicity to the liver. During liver transplantation, hemodynamic monitoring and immediate laboratory studies should be available. In our experience during the first 100 liver transplantations performed at our institution, use of a rapid infusion pump and venovenous bypass has helped normalize hemodynamic and renal function.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Rettke SR,Chantigian RC,Janossy TA,Burritt MF,Van Dyke RA,Harper JV,Ilstrup DM,Taswell HF,Wiesner RH,Krom RA

doi

10.1016/s0025-6196(12)65677-8

subject

Has Abstract

pub_date

1989-02-01 00:00:00

pages

224-31

issue

2

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(12)65677-8

journal_volume

64

pub_type

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