Abstract
The perioperative care of liver transplant recipients challenges even the most skilled intensivists, anesthesiologists and surgeons. Few other patient populations routinely manifest as many synergistic problems and conflicting needs. Because multisystem failure is a relatively frequent catastrophe in liver recipients, the intensivist caring for these patients must be knowledgeable in many subspecialties, and have day-and-night availability of experienced consultants. Particularly invaluable are consultants with expertise in infectious diseases, radiology and pathology [4,37].
Chapter PDF
Similar content being viewed by others
Keywords
- Liver Transplantation
- Portal Vein Thrombosis
- Transplant Proc
- Fulminant Hepatic Failure
- Liver Transplant Recipient
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
References
Bennett WM, Norman DJ, (1986) Action and toxicity of cyclosporine. Ann Rev Med 37: 215–224
Cuervas-Mons V, Millan I, Gaveler JS, Starzl TE, Van Thiel DH, (1986) Prognostic value of preoperatively obtained clinical and laboratory data in predicting survival following liver transplantation. Hepatology 6: 922–927
DeGroen PC, Aksamit AJ, Rakela J, Forbes GS, Krom RA, (1987) Central nervous toxicity after liver transplantation. N Engl J Med 317: 861–866
Demitris AJ, Sheahan DG, (1988) The role of the pathology department in a liver transplant program. Gastro Clin North Am 17: 93–103
Dindzans VJ, Schade RR, Van Thiel DH, (1988) Medical problems before and after transplantation. Gastro Clin North Am 17: 19–31
Esquivel CO, Jaffe R, Gordon RD, Iwatsuki I, Shaw BW, Starzl TE, (1985) Liver rejection and its differentiation from other causes of graft dysfunction. Semin Liver Dis 5: 369–374
Esquivel CO, Fung JJ, Markus B et al. (1987) OKT3 in the reversal of acute hepatic allograft rejection. Transplant Proc 19: 2443–2446
Gonwa TA, Klintmalm GB, Husberg BS, Olson L, Nery J, Roden J, (1988) Liver transplantation in patients with preexisting acute and chronic renal failure. Transplant Proc 20 suppl 1: 561–563
Gonwa TA, Poplawski SC, Husberg BS, Nery JR, Klintmalm GB, (1988) Cyclosporine nephrotoxicity in orthotopic liver transplantation. Transplant Proc 20 suppl 3: 401–404
Gordon RD, Iwatsuki S, Esquivel CO et al. (1987) Ex-perience with primary liver transplantation across ABO blood groups. Transplant Proc 19: 4575–4579
Hageman JR, Hunt CE, (1986) Fat emulsions and lung function. Clin Chest Med 7: 69–77
Hehir AJ, Jenkins RL, Bistrian BR, Blackburn GL, (1985) Nutrition in patients undergoing orthotopic liver trans-plant. JPEN 9: 695–700
Iwatsuki S, Starzl TE, Gordon RD et al. (1987) Late morbidity and mortality after liver transplantation. Transplant Proc 19: 2373–2377
Iwatsuki S, Starzl TE, Todo S et al. (1988) Experience in 1000 liver transplants under cyclosporine-steroid therapy survival report. Transplant Proc 20 suppl 1: 498–504
Kang YG, Gelman S, (1987) Liver transplantation. In:Gelman S (ed) Anesthesia and organ transplantation. WB Saunders and Co, Philadelphia, pp 139–183
Koneru B, Tzakis AG, Bowman J, Cassavilla A, Zajko AB, Starzl TE, (1988) Postoperative surgical complications. Gastro Clin North Am 17: 71–91
Kusne S, Dummer JS, Singh N et al. (1988) Infections after liver transplantation. Medicine 67: 132 - 143
Lerut J, Gordon RD, Iwatsuki S et al. (1987) Biliary tract complications in human orthotopic liver transplantation. Transplantation 43: 47–51
Lerut JP, Gordon RD, Iwatsuki S, Starzl TE, (1988) Human orthotopic liver transplantation:surgical aspects in 393 consecutive grafts. Transplant Proc 20 suppl 1: 603–606
Makowka L, Stieber AC, Sher L et al. (1988) Surgical technique of orthotopic liver transplantation. Gastro Clin North Am 17: 33–51
Olutola PS, Hutton L, Wall WJ, (1985) Pleural effusion following liver transplantation. Radiology 157: 594
Perkins JD, Sterioff S, Wiesner RH et al. (1987) Conversion from standard cyclosporine to low-dose cyclosporine and azathioprine therapy as treatment for cyclosporine-related complications in liver transplant patients. Transplant Proc 19: 2434–2436
Poison RJ, Park GR, Lindop MJ, Farman JV, Calne RY, Williams R, (1987) The prevention of renal impairment in patients undergoing orthotopic liver grafting by infusion of low dose dopamine. Anaesthesia 42: 15–19
Powell-Jackson PR, Carmichael FJ, Calne RY, Williams R, (1984) Adult respiratory distress syndrome and convulsions associated with administration of cyclosporine. Transplantation 38: 341–343
Rimola A, Gaveler JS, Schade RR, El-Lankany S, Starzl TE, Van Thiel DH, (1987) Effects of renal impairment on liver transplantation. Gastroenterology 93: 148–156
Ringe B, Pichlmayr R, Lübbe N, Bornscheuer A, Kuse E, (1988) Total hepatectomy as temporary approach to acute hepatic or primary graft failure. Transplant Proc 20 suppl 1: 552–557
Shaw BW, Gordon RD, Iwatsuki S, Starzl TE, (1985) Retransplantation of the liver. Semin Liver Dis 5: 394–401
Starzl TE, (1987) FK-506: a potential breakthrough in immunosuppression. Transplant Proc 19: 103
Starzl TE, (1987) New approaches in the use of cyclosporine. Transplant Proc 20 suppl 3: 356–360
Thompson CB, June CH, Sullivan KM, Thomas ED, (1984) Association between cyclosporine neurotoxicity and hypomagnesaemia. Lancet 1116–1120
Tisone G, Gunson BK, Buckels JA, McMaster P, (1988) Raised hematocrit — a contributing factor to hepatic artery thrombosis following liver transplantation. Transplantation 46: 162–163
Tzakis AG, (1985) The dearterialized liver graft. Semin Liver Dis 5: 375–376
Venkataramanan R, Burckhart GJ, Ptachcinski RJ, (1985) Pharmacokinetics and monitoring of cyclosporine following liver transplantation. Semin Liver Dis 5: 357–367
Wheatley HC, Datzman M, Williams JW, Miles DE, Hatch FE, (1987) Long-term effects of cyclosporine on renal function in liver transplant recipients. Transplantation 43: 641–647
Wood RP, Shaw BW, Starzl TE, (1985) Extrahepatic com-plications of liver transplantation. Semin Liver Dis 5: 377–384
Yandza T, Rahier J et al. (1987) Orthoclone OKT3 in liver transplantation: experience in 21 patients. Transplant Proc 19: 3987–3990
Zajko AB, Cambell WL, Bron KM, Schade RR, Koneru B, Van Thiel DH, (1988) Diagnostic and interventional radiology in liver transplantation. Gastro Clin North Am 17: 105–143
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag London Limited
About this chapter
Cite this chapter
DeRiso, B.M. (1992). Postoperative Care Following Hepatic Transplantation. In: Tinker, J., Zapol, W.M. (eds) Care of the Critically Ill Patient. Springer, London. https://doi.org/10.1007/978-1-4471-3400-8_38
Download citation
DOI: https://doi.org/10.1007/978-1-4471-3400-8_38
Publisher Name: Springer, London
Print ISBN: 978-1-4471-3402-2
Online ISBN: 978-1-4471-3400-8
eBook Packages: Springer Book Archive