Anesthetic Management of Cardiac Transplantation
Stage Description Stage A At high risk for HF, but without evidence of structural heart disease Stage B Evidence of structural heart disease, but without signs or symptoms of HF…
Cirrhotic Cardiomyopathy and Liver Transplantation
Patients Cirrhotics without cardiomyopathy Cirrhotics with cardiomyopathy At rest • Clinical findings: Hyperdynamic state (few patients) • Echocardiography: 1. Prolonged isovolumetric relaxation time (mild) • Electrocardiogram: QT prolongation (few patients) •…
Anesthetic Management of Patients Undergoing Pancreas Transplantation
Blood glucose level (g/dL) Regular insulin infusion rate (U/h) D5W infusion rate (mL/h) >350 3–5a 0 250–350 3a 0 150–250 2a 0 100–150 2 20 70–100 1–2 20–100 <70 0…
Intensive Care of the Deceased Multiorgan Donor: One Donor, Nine Lives
Fig. 5.1 Pathophysiologic changes during brain death. BBB blood brain barrier, DI diabetes insipidus, DIC disseminated intravascular coagulopathy, ICP intracranial pressure First Phase: Peri-Death Just prior to the development of…
Anesthesia for Noncardiac Surgery Following Thoracic Organ Transplantation
Native heart OHTx recipient Innvervation Autonomic and sensory innervation intact Denervated initially—partial reinnervation time course. The exact time course is unclear at present Resting heart rate 60–80 beats/min 90–110…
Multivisceral Transplantation: Intraoperative Vascular Access Strategy
© Springer Science+Business Media New York 2017Kathirvel Subramaniam and Tetsuro Sakai (eds.)Anesthesia and Perioperative Care for Organ Transplantation10.1007/978-1-4939-6377-5_42 42. Multivisceral Transplantation: Intraoperative Vascular Access Strategy Charles D. Boucek1 (1) Department of Anesthesiology, University of Pittsburgh, 200 Lothrop…
Anesthesia for Multivisceral Transplantation
© Springer Science+Business Media New York 2017Kathirvel Subramaniam and Tetsuro Sakai (eds.)Anesthesia and Perioperative Care for Organ Transplantation10.1007/978-1-4939-6377-5_41 41. Anesthesia for Multivisceral Transplantation Edward Gologorsky1 and Kyota Fukazawa2 (1) Department of Anesthesiology, University of Miami Miller School…
Preoperative Recipient Evaluation for Visceral (Intestine, Intestine/Liver, Multivisceral) Transplantation
© Springer Science+Business Media New York 2017Kathirvel Subramaniam and Tetsuro Sakai (eds.)Anesthesia and Perioperative Care for Organ Transplantation10.1007/978-1-4939-6377-5_40 40. Preoperative Recipient Evaluation for Visceral (Intestine, Intestine/Liver, Multivisceral) Transplantation Hiroshi Sogawa1, 2 (1) Thomas E. Starzl Transplantation…
Renal Dysfunction in Hepatic Failure
Stage GFR criteria Urine output criteria Probability Risk SCr increased ×1.5 GFR decreased >25 % <0.5 mL/kg/h for >6 h High sensitivity (risk > injury > failure) Injury SCr increased…
General Anesthesia for the Patient with End-Stage Liver Disease and Post Liver Transplantation
Classification Physical status ASA 1 Healthy person ASA 2 Mild systemic disease ASA 3 Severe systemic disease, not incapacitating ASA 4 Severe systemic disease that is a constant threat to…
