SavedAdd your journal

Journals / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2021 / Cilt: 27 - Sayı: 2

Anesthesia for Liver Transplantation

Karaciğer Transplantasyonunda Anestezi

Zeynep ERSOY
Nedim ÇEKMEN
Adnan TORGAY
Pages
111–130
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The aim of this review was to summarize peroperative and anesthesia management in line with the guidelines.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Orthotopic liver transplantation (OLT) is the gold standard treatment for patients with endstage liver disease.
📊
Key Findings & Data:During the management anesthesiologists should focus on significant hemodynamic instability, physiology, metabolic disturbance and coagulopathy of those patients.
💡
Conclusion & Impact:The aim of this review was to summarize peroperative and anesthesia management in line with the guidelines.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Orthotopic liver transplantation (OLT) is the gold standard treatment for patients with endstage liver disease. Understanding of the multisystem physiology of end stage liver desease (ESLD) is fundamental to the management of transplant recipient. Since OLT is a very dynamic process, a multidisciplinary approach and optimization is essential in the perioperative period. During the management anesthesiologists should focus on significant hemodynamic instability, physiology, metabolic disturbance and coagulopathy of those patients. The aim of this review was to summarize peroperative and anesthesia management in line with the guidelines.

Özet

Ortotopik karaciğer transplantasyonu (OKT), son dönem karaciğer hastalarında (SDKH) altın standart tedavidir. SDKH’nın multisistemik fizyolojisini kavramak peroperatif transplant alıcı yönetiminde temeldir. OKT çok dinamik bir süreçtir, bu süreçte OKT hastalarında preoperatif dönemde multidisipliner yaklaşım ve optimizasyon şarttır. Bu hastaların anestezi yönetiminde hızlı dalgalanan hemodinamiye, fizyolojiye, metabolik ve koagülasyon durumuna odaklanılmalıdır. Derlememizde; literatür doğrultusunda OKT hastalarında, peroperatif ve anestezi yönetimini sunmayı amaçladık.

🔖

Cite This Article

ERSOY, Z., ÇEKMEN, N., TORGAY, A. (2022). Anesthesia for Liver Transplantation. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 27 - Sayı: 2, 111–130. https://ajindex.com/articles/525938

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Burra P, Burroughs A, Graziadei I. EASL Clinical Practice Guidelines: Liver transplantation. J Hepatol. 2016;64(2):433-85.
  2. Linecker M, Krones T, Berg T. Potentially inappropriate liver transplantation in the era of the “sickest first” policy - A search for the upper limits. J Hepatol. 2018;68(4):798-813.
  3. Liver Donor Criteria. Beth Israel Deaconess Medical Center. Harvard Medical School Teaching Hospital. https://www.bidmc.org.
  4. Choi SS, Kim SH, Kim YK. Fluid management in living donor hepatectomy: Recent issues and perspectives. World J Gastroenterol. 2015;21(45):12757-66.
  5. Kim SH, Kim YK, Lee SD, Lee EC, Park SJ. The Impact of a Surgical Protocol for Enhanced Recovery on Living Donor Right Hepatectomy Medicine (Baltimore). 2016; 95(14):e3227.
  6. Cheah YL, Simpson MA, Pomposelli JJ, Pomfret EA. Incidence of death and potentially life-threatening near-miss events in living donor hepatic lobectomy: A world-wide survey. Liver Transpl. 2013;19(5):499-506.
  7. Gupte A, Shukla A. Liver transplantation-what the physician should know? Journal of Association of Physicians of India Published online 2016;64(12):60-9
  8. Kashimutt S, Kotzé A. Anaesthesia for liver transplantation. BJA Education 2017;17(1):35-40.
  9. Hall TH, Dhir A. Anesthesia for liver transplantation. Semin in Cardiothorac Vasc Anesth. 2013;17(3):180- 94.
  10. Fede G, Privitera G, Tomaselli T, Spadaro L, Purrello F. Cardiovascular dysfunction in patients with liver cirrhosis. Ann Gastroenterol. 2015;28(1):31-40
  11. Siniscalchi A, Aurini L, Spedicato S, vd. Hyperdynamic circulation in cirrhosis: Predictive factors and outcome following liver transplantation. Minerva Anestesiol. 2013;79(1):15-23
  12. Snipelisky DF, McRee C, Seeger K, Levy M, Shapiro BP. Coronary interventions before liver transplantation might not avert postoperative cardiovascular events. Tex Heart Inst J 2015;42(5):438-42.
  13. Deshpande R, Chadha RM, Doane MA, Poon C. Anaesthesia for Orthotopic Liver Transplantation. Anaesthesia Tutorial of the Week 2018;377:1-7
  14. Moezi L, Gaskari SA, Lee SS. Endocannabinoids and Liver Disease. Endocannabinoids as mediators of v