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Best Pract Res Clin Anaesthesiol · Mar 2020
ReviewAnesthesia for combined liver-thoracic transplantation.
- Miriam Zeillemaker-Hoekstra, Carlijn I Buis, Vlado Cernak, and Koen Mem Reyntjens.
- Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. Electronic address: m.zeillemaker@umcg.nl.
- Best Pract Res Clin Anaesthesiol. 2020 Mar 1; 34 (1): 101-108.
AbstractThe combined transplantation of a thoracic organ and the liver is performed in patients with dual-organ failure in whom survival is not expected with single-organ transplantation alone. Although uncommonly performed, the number of combined liver-lung and liver-heart transplants is increasing. Anesthetic management of this complex procedure is challenging. Major blood loss, prolonged operation time, difficult weaning of cardiopulmonary bypass and coagulation disturbances are common. Despite the complexity of surgery, the outcome is comparable to single-organ transplant.Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
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