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Critical care of the intestinal and multivisceral transplant recipient 

Critical care of the intestinal and multivisceral transplant recipient
Chapter:
Critical care of the intestinal and multivisceral transplant recipient
Author(s):

Lydia M. Jorge

and Haran Fisher

DOI:
10.1093/med/9780199651429.003.0029
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date: 21 August 2019

Critical care of the intestinal and multivisceral transplant recipient involves an ever-expanding core of practices, knowledge, skills, and treatment protocols. Patients admitted to the intensive care unit (ICU) following intestinal and multivisceral transplant pose a great challenge to the expertise of the ICU medical and nursing staff. In order to care appropriately for these patients, specific physiological targets need to be set up in order to maximize preservation and full recovery of gastrointestinal function. Further, validated protocols need to be in place so as to streamline care and avoid variability in quality of care. This chapter reviews selected topics particularly relevant to critical care of the adult and paediatric intestinal and multivisceral transplant recipient, such as post-transplant infection, rejection, graft versus host disease, lymphoproliferative disease, the evolution of immunosuppression therapy, and quality of life.

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