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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2020
[Anaesthesia in Patients after Transplantation of Solid Abdominal Organs].
- Susanne Greve and Thomas Palmaers.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Jul 1; 55 (7-08): 442-452.
AbstractAn ever-evolving and successful transplantation medicine is providing a large number of living patients after solid organ transplantation. Anaesthetists should therefore be prepared to come into contact with such a patient. In addition to the preoperative assessment of the pre-existing diseases, including the function of the transplanted organ, immunosuppression also plays an important role. Immunosuppression must always be continued perioperatively. Strict adherence to all hygienic regulations is essential in these patients due to immunosuppression and the associated increased risk of infection and sepsis. This includes the strict risk-benefit assessment of all invasive procedures.There are no significant differences between the anaesthetic approaches and agents in transplant and non-transplant patients. However, in the first group, homeostasis of all organ systems should be more focused on.Georg Thieme Verlag KG Stuttgart · New York.
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