• Critical care clinics · Jul 2016

    Review

    Perioperative Care of the Liver Transplant Patient.

    • Mark T Keegan and David J Kramer.
    • Division of Critical Care, Department of Anesthesiology, Mayo Clinic, Charlton 1145, 200 1st Street Southwest, Rochester, MN 55905, USA. Electronic address: keegan.mark@mayo.edu.
    • Crit Care Clin. 2016 Jul 1; 32 (3): 453-73.

    AbstractWith the evolution of surgical and anesthetic techniques, liver transplantation has become "routine," allowing for modifications of practice to decrease perioperative complications and costs. There is debate over the necessity for intensive care unit admission for patients with satisfactory preoperative status and a smooth intraoperative course. Postoperative care is made easier when the liver graft performs optimally. Assessment of graft function, vigilance for complications after the major surgical insult, and optimization of multiple systems affected by liver disease are essential aspects of postoperative care. The intensivist plays a vital role in an integrated multidisciplinary transplant team.Copyright © 2016 Elsevier Inc. All rights reserved.

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