Anesthesia approach to hepatic transplantation

S. R. Rettke, R. C. Chantigian, T. A. Janossy, M. F. Burritt, R. A. Van Dyke, J. V. Harper, D. M. Ilstrup, H. F. Taswell, R. H. Wiesner, R. A F Krom

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Anesthesia support for patients undergoing orthotopic liver transplantation can be complicated because of multiple medical problems in such patients and rapid hemodynamic, metabolic, and coagulation changes intraoperatively. Preoperative assessment should include careful review of the cardiovascular, respiratory, and hematologic systems. Use of isoflurane as the main anesthetic agent will minimize toxicity to the liver. During liver transplantation, hemodynamic monitoring and immediate laboratory studies should be available. In our experience during the first 100 liver transplantations performed at our institution, use of a rapid infusion pump and venovenous bypass has helped normalize hemodynamic and renal function.

Original languageEnglish (US)
Pages (from-to)224-231
Number of pages8
JournalMayo Clinic Proceedings
Volume64
Issue number2
StatePublished - 1989

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Liver Transplantation
Anesthesia
Hemodynamics
Infusion Pumps
Isoflurane
Respiratory System
Anesthetics
Kidney
Liver

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rettke, S. R., Chantigian, R. C., Janossy, T. A., Burritt, M. F., Van Dyke, R. A., Harper, J. V., ... Krom, R. A. F. (1989). Anesthesia approach to hepatic transplantation. Mayo Clinic Proceedings, 64(2), 224-231.

Anesthesia approach to hepatic transplantation. / Rettke, S. R.; Chantigian, R. C.; Janossy, T. A.; Burritt, M. F.; Van Dyke, R. A.; Harper, J. V.; Ilstrup, D. M.; Taswell, H. F.; Wiesner, R. H.; Krom, R. A F.

In: Mayo Clinic Proceedings, Vol. 64, No. 2, 1989, p. 224-231.

Research output: Contribution to journalArticle

Rettke, SR, Chantigian, RC, Janossy, TA, Burritt, MF, Van Dyke, RA, Harper, JV, Ilstrup, DM, Taswell, HF, Wiesner, RH & Krom, RAF 1989, 'Anesthesia approach to hepatic transplantation', Mayo Clinic Proceedings, vol. 64, no. 2, pp. 224-231.
Rettke SR, Chantigian RC, Janossy TA, Burritt MF, Van Dyke RA, Harper JV et al. Anesthesia approach to hepatic transplantation. Mayo Clinic Proceedings. 1989;64(2):224-231.
Rettke, S. R. ; Chantigian, R. C. ; Janossy, T. A. ; Burritt, M. F. ; Van Dyke, R. A. ; Harper, J. V. ; Ilstrup, D. M. ; Taswell, H. F. ; Wiesner, R. H. ; Krom, R. A F. / Anesthesia approach to hepatic transplantation. In: Mayo Clinic Proceedings. 1989 ; Vol. 64, No. 2. pp. 224-231.
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