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Intensive care management in hepatic and other abdominal organ transplantation 

Intensive care management in hepatic and other abdominal organ transplantation
Chapter:
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
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date: 26 February 2020

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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