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Anaesthesia for non-transplant surgery in the organ transplant recipient 

Anaesthesia for non-transplant surgery in the organ transplant recipient
Chapter:
Anaesthesia for non-transplant surgery in the organ transplant recipient
Author(s):

Luz Aguina

and Ernesto A. Pretto

DOI:
10.1093/med/9780199651429.003.0039
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date: 22 October 2019

The population of organ transplant recipients among non-transplant surgical patients is increasing exponentially. The vast majority of transplant recipients are completely functional patients with excellent quality of life. The preoperative evaluation and perioperative anaesthetic management of these patients may seem at first a complicated matter due to the extensive medical history of end-stage organ disease and transplantation. However, successful organ transplantation usually results in the reversal of many of the major derangements caused by the end-stage disease. Therefore, in addition to the standard preoperative evaluation, a thorough assessment should include a careful review of health status since transplantation, while taking into account comorbidities and the risks associated with the type and scope of the planned surgical procedure. In particular, it is important to assess the type of immunosuppression regimen and its side effects, anaesthetic and drug interactions, as well as graft function. This chapter reviews the major concerns in the perioperative anaesthetic plan for the organ transplant recipient undergoing non-transplant surgery.

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