• Jia Shen, Huan Liu, Yaodan Zhang, Yu Xu, Aiping Du, and Yongming Tian.
• Department of Critical Care Medicine, West China Hospital/West China School of Nursing, Sichuan University, Chengdu, China.
• Medicine (Baltimore). 2024 Aug 2; 103 (31): e39081e39081.

ObjectiveThe aim of this study was to summarize the intensive care experience of a patient undergoing combined multi-organ cluster ("larynx-trachea-thyroid-hypopharynx-esophagus") transplantation.MethodsThe intensive care management plan for this case was developed by a multidisciplinary team, with focus on 6 aspects: (1) stabilizing the circulation and reducing anastomotic tension by position management to improve the survival chances of transplanted organs, (2) adopting goal-directed analgesia and sedation protocols, as well as preventing anastomotic fistula, (3) implementing a bedside ultrasound-guided nutrition plan, (4) employing "body-mind" synchronous rehabilitation to facilitate functional recovery, (5) taking antirejection treatment and protective isolation measures, (6) monitoring and nursing thyroid function.ResultsDuring the intensive care, the patient's vital signs were stable. The patient was successfully weaned from the ventilator and transferred to the general ward for further treatment at 9 days postoperatively, and discharged upon recovery at 58 days postoperatively. The patient was in good condition during follow-up.ConclusionThis study provides reference for the care of patients who undergo similar transplantation in the future.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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