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Intensive Care of the Child After Liver Transplantation

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Solid Organ Transplantation in Infants and Children

Part of the book series: Organ and Tissue Transplantation ((OTT))

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Abstract

The intensive care of the pediatric patient following solid organ transplant actually begins prior to surgery with a discussion of the patient among all the key stakeholders. Giving families tours of the pediatric intensive care unit, building a dedicated nursing team, and having resources available are essential. Following surgery, attention to detail is the key component during the transition from the operating room to the intensive care unit. This review covers handoff from the operating room to the intensive care unit, postoperative stabilization, and management including respiratory management, fluids, electrolytes and acid/base status, cardiovascular management, assessment of graft function, and neurologic management. Other topics specific to the transplant include immunosuppression, anticoagulation, infection prevention, and nutrition. It is important to monitor for complications following solid organ transplant; failure to rescue starts with a failure to recognize. Common complications following transplantation are discussed including primary nonfunction, vascular complications, biliary complications, rejection, and infection.

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Author information

Authors and Affiliations

  1. Department of Pediatrics, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children’s Hospital of Chicago, 225 East Chicago Avenue, #73, 60611, Chicago, IL, USA

    Ranna A. Rozenfeld & Z. Leah Harris

Authors
  1. Ranna A. Rozenfeld
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  2. Z. Leah Harris
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Corresponding author

Correspondence to Ranna A. Rozenfeld .

Editor information

Editors and Affiliations

  1. Department of Surgery, Jefferson Medical College, Wilmington, Delaware, USA

    Stephen P. Dunn

  2. Division of Gastroenterology, Seattle Children’s Hospital, Seattle, Washington, USA

    Simon Horslen

Section Editor information

  1. Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    Tetsu Uejima

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© 2018 Springer International Publishing AG, part of Springer Nature

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Rozenfeld, R.A., Harris, Z.L. (2018). Intensive Care of the Child After Liver Transplantation. In: Dunn, S., Horslen, S. (eds) Solid Organ Transplantation in Infants and Children. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-07284-5_44

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  • DOI: https://doi.org/10.1007/978-3-319-07284-5_44

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-07283-8

  • Online ISBN: 978-3-319-07284-5

  • eBook Packages: MedicineReference Module Medicine

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