Perioperative Point-of-Care Ultrasound Utilization in Abdominal Organ Transplantation. Part I: Preoperative and Intraoperative Care

IF 1.9 4区 医学 Q2 SURGERY Clinical Transplantation Pub Date : 2025-04-17 DOI:10.1111/ctr.70153
Ryan Grell, Jonathan Paul, Kapil Gupta, Nikhil Chawla, Ranjit Deshpande, Lorenzo De Marchi, Jiapeng Huang
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Abstract

In this Society for the Advancement of Transplant Anesthesia (SATA) white paper, experts in abdominal transplant anesthesia and critical care reviewed the current literature and practice behaviors to create a comprehensive review of the utilization of point-of-care ultrasound (PoCUS) in abdominal organ transplantation (AOT) and to provide evidenced-based recommendations for clinicians to utilize perioperative PoCUS to improve patient outcomes in real time. Organized by phase of care–preoperative, intraoperative, and postoperative–this paper includes a discussion of transthoracic, pulmonary, gastric, and transesophageal echocardiography. Part I of this paper focuses on preoperative and intraoperative PoCUS while the upcoming Part II focuses on utilizing PoCUS in the immediate postoperative and intensive care setting to guide fluid management, identify venous congestion, identify causes of shock, and estimate hemodynamics in AOT patients.

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腹部器官移植围手术期护理点超声应用。第一部分:术前和术中护理
在这篇移植麻醉进步学会(SATA)的白皮书中,腹部移植麻醉和重症监护专家回顾了目前的文献和实践行为,全面回顾了护理点超声(PoCUS)在腹部器官移植(AOT)中的应用,并为临床医生提供基于证据的建议,以利用围手术期PoCUS实时改善患者预后。根据护理阶段(术前、术中和术后),本文包括经胸、肺、胃和经食管超声心动图的讨论。本文第一部分着重于术前和术中PoCUS,而即将到来的第二部分侧重于利用PoCUS在术后和重症监护环境中指导液体管理,识别静脉充血,识别休克原因,并评估AOT患者的血流动力学。
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来源期刊
Clinical Transplantation
Clinical Transplantation 医学-外科
CiteScore
3.70
自引率
4.80%
发文量
286
审稿时长
2 months
期刊介绍: Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.
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