Perioperative Management of Pulmonary Hypertension
PH is defined as a persistent increase in MPAP ≥ 25 mmHg, measured by right heart catheterization (RHC) at rest, coupled with PCWP ≤ 15 mmHg and PVR >240 dyn…
Technical Innovation and Visceral Transplantation
Fig. 39.1 The prototypes and the subtypes of visceral transplantation While intestine being the central core of visceral allograft, the term “multivisceral” is a distinctive nomenclature for stomach-contained visceral allograft….
Extracorporeal Life Support Following Thoracic Organ Transplantation
Grade PaO2/FiO2 (mmHg) Radiographic infiltrates consistent with pulmonary edema 0 >300 Absent 1 >300 Present 2 200–300 Present 3 <200 Present Lung Transplantation The primary mode of ECLS following lung…
Portopulmonary Hypertension and Hepatopulmonary Syndrome
Fig. 33.1 Normal endothelium with endothelium-derived vasoactive substances. Sheer stress leads to a release of nitric oxide and other vasoactive molecules. [NO nitric oxide, ACE angiotensin-converting enzyme, Ach acetylcholine, AI…
Reconstructive Transplantation: Evolution, Experience, Ethics, and Emerging Concepts
Fig. 44.1 Ganesha, the elephant-headed Hindu god of new beginnings (eighteenth century, Temple Relic) Credit—British Museum, Public Domain Fig. 44.2 Narasimha, the lion-headed fourth avatar of Vishnu killing the demon…
Bilateral Sequential Lung Transplantation: What the Anesthesiologist Needs to Know About the Surgical Approach
Fig. 8.1 Standard patient positioning for bilateral sequential lung transplantation at our center Fig. 8.2 Clamshell incision for bilateral lung transplantation Fig. 8.3 Bilateral anterolateral thoracotomy incisions for double lung…
The Historic Evolution of Intestinal and Multivisceral Transplantation
Fig. 38.1 (a) Alexis Carrel, (b) Richard Lillehei (left) and William Kelly (right), (c) Thomas Starzl Fig. 38.2 (a) Technique for anastomosing the superior mesenteric vessels [5]. (b) Schematic view…
Anesthetic Management for Lung Transplantation
Fig. 9.1 Number of reported adult lung transplants by year and procedure type reported to the International Society for Heart and Lung Transplantation Registry (Data from Wong et al. [3])…
Coagulation Abnormality and Its Management
Fig. 36.1 Coagulation pathways . Activation of the extrinsic pathway (through activation of factor VII by tissue factor) and the intrinsic pathway (through contact activation of factor XII) ultimately results…
Anatomy and Surgical Procedures for Renal and Pancreas Transplantations
Fig. 21.1 Exposure of the vessels for renal transplantation in the right iliac fossa. Visualized is the external iliac artery and external iliac vein It should be noted that the…
