Anaesthetic management of organ transplant patients.

Anesthesia, Conduction Anesthetics / administration & dosage Animals Antibiotic Prophylaxis Composite Tissue Allografts Humans Models, Animal Monitoring, Intraoperative Organ Preservation / methods Plastic Surgery Procedures / methods Reperfusion Injury / drug therapy Vascularized Composite Allotransplantation / methods
Blood transfusion Haemodynamic Inotropes Ischaemic-reperfusion injury Reconstructive transplantation Regional anaesthesia Reperfusion Solid organ transplantation

Journal

Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040

Informations de publication

Date de publication:
Dec 2019
Historique:
pubmed: 16 11 2019
medline: 15 12 2020
entrez: 16 11 2019
Statut: ppublish

Résumé

In this paper we will describe anaesthetic management of solid organ and reconstructive transplantation (RT) patients. We will focus on similar underlying principles of reperfusion, ischaemic-reperfusion injury, preconditioning and extracorporeal donor organ preservation. Special concerns for anaesthetic management of these patients need to focus on pre-assessment, pre-operative optimisation, vascular access, fluid management, blood and products replacement, cardiovascular monitoring, use of inotropes and vasoconstrictors, maintaining electrolyte balance and regional anaesthesia. Despite the complexity and long duration of transplant procedures, fast-tracking to the surgical ward after transplantation is becoming more popular and its benefits are well recognised.

Identifiants

DOI: 10.1016/j.injury.2019.10.063 PMID: 31727399
pubmed: 31727399
pii: S0020-1383(19)30665-5
doi: 10.1016/j.injury.2019.10.063
pii:
doi:

Substances chimiques

Anesthetics 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

S126-S130

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Zoka Milan (Z)

Anaesthetic Department, King's College Hospital, Denmark Hill, SE5 9RS London, UK. Electronic address: zoka.milan@nhs.net.

Miriam Cortes (M)

Surgical Department, King's College Hospital, London, UK.

Nikhil Sarma (N)

ST1, Queen Elisabeth Hospital, Warwick, UK.

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Classifications MeSH

questionsmedicales.fr › Anesthésie et analgésie › Anesthésie › Anesthésie de conduction › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Anesthésiques › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Eucaryotes › Animaux › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Thérapeutique › Traitement médicamenteux › Prémédication › Antibioprophylaxie › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Régions du corps › Transplants › Allogreffes de tissus composites › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Techniques d'investigation › Modèles animaux › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Procédures de chirurgie opératoire › Surveillance peropératoire › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Techniques d'investigation › Conservation biologique › Conservation de tissu › Conservation d'organe › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie reconstructive › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Lésion d'ischémie-reperfusion › Anaesthetic management of organ transplant patients.
questionsmedicales.fr › Procédures de chirurgie opératoire › Transplantation › Transplantation homologue › Allotransplantation composite vascularisée › Anaesthetic management of organ transplant patients.