RT Book, Section
A1 Scott, John (Jake) P.
A1 Hoffman, George M.
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176458889
T1 Anesthesia for Liver Transplantation
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176458889
RD 2024/04/25
AB FOCUS  POINTSMost  common  etiology  of  end-stage  liver  disease  (ESLD)  in  children  is  cirrhosis  secondary  to  biliary  atresia.ESLD  involves  nearly  every  organ  system.The  primary  pulmonary  manifestation  of  ESLD  is  arterial  hypoxemia.The  most  common  cause  of  fulminant  hepatic  failure  (FHF)  is  acute  viral  hepatitis.Indications  for  the  highest  priority  status  (1A)  for  liver  transplantation  include  FHF  and  hepatic  arterial  thrombosis  or  primary  graft  nonfunction  post-transplant.There  are  three  surgical  phases  in  liver  transplantation:  preanhepatic,  anhepatic,  and  neohepatic.Postreperfusion  syndrome  (PRS)  during  the  neohepatic  phase  is  associated  with  increased  perioperative  morbidity  and  mortality.Postoperative  complications  following  liver  transplantation  include  bleeding,  vascular  occlusion  events,  rejection,  and  primary  nonfunction.