- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Part 20.1 Specialized surgical intensive care
- Chapter 368 Intensive care management after cardiothoracic surgery
- Chapter 369 Intensive care management after neurosurgery
- Chapter 370 Intensive care management after vascular surgery
- Chapter 371 Intensive care management in hepatic and other abdominal organ transplantation
- Chapter 372 Intensive care management in cardiac transplantation
- Chapter 373 Intensive care management in lung transplantation
- Part 20.2 Oncological intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care
(p. 1776) Intensive care management in hepatic and other abdominal organ transplantation
- Chapter:
- (p. 1776) Intensive care management in hepatic and other abdominal organ transplantation
- Author(s):
Ivonne M. Daly
and Ali Al-Khafaji
- DOI:
- 10.1093/med/9780199600830.003.0371
Care of the transplant patient post-operatively requires a multidisciplinary approach. The goal of the intensivist is to create an ideal environment for the allograft to recover from its ischaemic insult and return to normal function. An understanding of the recipient’s pretransplant physiology is essential, as the pathological states associated with organ failure may persist for weeks to months after transplant. In particular, cardiac and renal disease may impact care in the immediate post-transplant period. An understanding of immune suppressive strategies will enable the intensivist to mitigate nephrotoxic side effects of these medications and anticipate specific vulnerabilities to infection. Attention to all the details of good critical care will give the allograft and the recipient the best chance for long-term survival. The intensivist must be able anticipate problems related to surgery and early signs of allograft recovery and dysfunction. Common post-operative complications are described in this chapter.
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- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Part 20.1 Specialized surgical intensive care
- Chapter 368 Intensive care management after cardiothoracic surgery
- Chapter 369 Intensive care management after neurosurgery
- Chapter 370 Intensive care management after vascular surgery
- Chapter 371 Intensive care management in hepatic and other abdominal organ transplantation
- Chapter 372 Intensive care management in cardiac transplantation
- Chapter 373 Intensive care management in lung transplantation
- Part 20.2 Oncological intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care