成人肝移植手术的麻醉和重症监护

IF 0.2 Q4 ANESTHESIOLOGY Anaesthesia and Intensive Care Medicine Pub Date : 2024-06-01 DOI:10.1016/j.mpaic.2024.03.013
Craig Beattie, Michael A. Gillies
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引用次数: 0

摘要

这篇综述介绍了肝移植患者的评估和排序,以及这类患者围手术期的一些特殊挑战。文中还讨论了重症监护病房的术后管理原则,以及早期移植物功能障碍的一些征兆。越来越多病情复杂的晚期肝病患者接受了来自边缘供体的移植物,这给移植团队带来了巨大挑战。麻醉师和重症监护医师在决定围手术期的治疗效果方面发挥着至关重要的作用,他们必须与外科医生和肝病专家通力合作,以实现最佳的患者治疗效果。
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Anaesthesia and intensive care for adult liver transplantation

This review describes the assessment and listing of the patient for liver transplantation and some of the perioperative challenges specific to this group of patients. The principles of the postoperative management in the intensive care unit are discussed as well as some of the signs of early graft dysfunction. Increasingly complex patients with advanced liver disease are receiving grafts from more marginal donors and this can present significant challenges to the transplant team. The anaesthetist and intensivist play a vital role in determining outcome in the perioperative period and must work collaboratively with surgeons and hepatologists to achieve the best patient outcomes.

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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
152
期刊介绍: Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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Editorial Board Contents Medical gases Spinal anaesthesia Premedication
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