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Paediatric liver transplantation: assessment and intraoperative care 

Paediatric liver transplantation: assessment and intraoperative care
Chapter:
Paediatric liver transplantation: assessment and intraoperative care
Author(s):

James Bennett

and Peter Bromley

DOI:
10.1093/med/9780199651429.003.0025
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date: 23 August 2019

Paediatric liver transplantation is a great challenge to the anaesthetist. The variety and manifestations of liver disease, as well as the associated comorbid conditions, require careful assessment and thorough understanding. Infancy and childhood is associated with rapid growth and development, which significantly impacts upon physiology; the success of liver transplantation can be judged by attainment of such milestones as well as by survival. Anatomy, physiology, and behaviour change greatly from infancy through to adolescence; this demands not only meticulous technique but also patience and empathy. Equipment used commonly in adult liver transplantation may be unavailable or unsuitable for paediatric practice; indeed it is advisable to resist the temptation to transfer adult techniques into paediatric liver transplantation.

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