期刊
CURRENT OPINION IN ANESTHESIOLOGY
卷 21, 期 3, 页码 391-400出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ACO.0b013e3282ff85f4
关键词
anesthesia; hepatic insufficiency; intensive care; liver diseases; liver failure; liver transplantation
Purpose of review The present review describes new trends and ongoing controversies in the anesthetic care of liver transplant recipients. Recent findings Recent studies have improved our knowledge of conditions increasing perioperative risk, such as portopulmonary hypertension and renal failure. Improved surgical and anesthetic management has reduced intraoperative blood loss, as more studies identify an independent association between blood transfusion and poor outcome. New concepts in the coagulopathy of liver failure are emerging, with clear implications for clinical practice, including greater awareness of the risks of intraoperative thromboembolism. Less invasive intraoperative hemodynamic monitoring has been advocated, as has wider use of transoesophageal echocardiography. Early extubation is becoming more routinized. Summary Anesthetic management still varies widely between liver transplant centers with little data to indicate best practice. Future research should focus on fluid replacement, prevention and treatment of coagulopathy, care of the acutely ill patient and the safety and benefits of early extubation.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据