Anaesthetic and perioperative management of paediatric organ recipients in nontransplant surgery
Summary The number and success rate of paediatric organ transplantation continue to improve yearly, and the number of transplanted children presenting for either elective or emergency nontransplant surgery is expected to increase accordingly. The general considerations related to any transplant reci...
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| Veröffentlicht in: | Pediatric anesthesia 2003-11, Vol.13 (9), p.754-763 |
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| container_title | Pediatric anesthesia |
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| creator | Kostopanagiotou, Georgia Smyrniotis, Vassilios Arkadopoulos, Nikolaos Contis, John Briassoulis, George Kostopanagiotou, Elias |
| description | Summary
The number and success rate of paediatric organ transplantation continue to improve yearly, and the number of transplanted children presenting for either elective or emergency nontransplant surgery is expected to increase accordingly. The general considerations related to any transplant recipient are the physiological and pharmacological problems of allograft denervation, the side effects of immunosuppression, the risk of infection, and the potential for rejection. Preoperative assessment of transplant recipients undergoing non‐transplant surgery should focus on graft function, the risk of infection, and function of other organs. Local, regional, or general anaesthesia can be safely delivered to transplant recipients. Specific anaesthetic considerations related to the type of transplantation, have an impact directly on anaesthetic and perioperative management. Since anaesthetists and surgeons in hospitals who are not involved in transplantations, may be required to manage paediatric transplant recipients, the reviews of the existing experience in this field will be valuable tools in their hands. |
| doi_str_mv | 10.1046/j.1460-9592.2003.01055.x |
| format | Article |
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The number and success rate of paediatric organ transplantation continue to improve yearly, and the number of transplanted children presenting for either elective or emergency nontransplant surgery is expected to increase accordingly. The general considerations related to any transplant recipient are the physiological and pharmacological problems of allograft denervation, the side effects of immunosuppression, the risk of infection, and the potential for rejection. Preoperative assessment of transplant recipients undergoing non‐transplant surgery should focus on graft function, the risk of infection, and function of other organs. Local, regional, or general anaesthesia can be safely delivered to transplant recipients. Specific anaesthetic considerations related to the type of transplantation, have an impact directly on anaesthetic and perioperative management. Since anaesthetists and surgeons in hospitals who are not involved in transplantations, may be required to manage paediatric transplant recipients, the reviews of the existing experience in this field will be valuable tools in their hands.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1046/j.1460-9592.2003.01055.x</identifier><identifier>PMID: 14617115</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>anaesthesia ; Anesthesia ; Anesthesia - adverse effects ; Anesthesia - methods ; Anesthesia depending on patient's condition ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Child ; Child, Preschool ; Humans ; immunosuppression ; Infant ; Infant, Newborn ; Medical sciences ; Organ Transplantation ; Perioperative Care - methods ; rejection ; surgery ; Surgical Procedures, Operative ; transplantation</subject><ispartof>Pediatric anesthesia, 2003-11, Vol.13 (9), p.754-763</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4335-14b8138fb7226b8e1485bb15a84ba4e5eed982e328c2720dd30680450ec2bba33</citedby><cites>FETCH-LOGICAL-c4335-14b8138fb7226b8e1485bb15a84ba4e5eed982e328c2720dd30680450ec2bba33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1460-9592.2003.01055.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1460-9592.2003.01055.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,45565,45566</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15288150$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14617115$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kostopanagiotou, Georgia</creatorcontrib><creatorcontrib>Smyrniotis, Vassilios</creatorcontrib><creatorcontrib>Arkadopoulos, Nikolaos</creatorcontrib><creatorcontrib>Contis, John</creatorcontrib><creatorcontrib>Briassoulis, George</creatorcontrib><creatorcontrib>Kostopanagiotou, Elias</creatorcontrib><title>Anaesthetic and perioperative management of paediatric organ recipients in nontransplant surgery</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>Summary
The number and success rate of paediatric organ transplantation continue to improve yearly, and the number of transplanted children presenting for either elective or emergency nontransplant surgery is expected to increase accordingly. The general considerations related to any transplant recipient are the physiological and pharmacological problems of allograft denervation, the side effects of immunosuppression, the risk of infection, and the potential for rejection. Preoperative assessment of transplant recipients undergoing non‐transplant surgery should focus on graft function, the risk of infection, and function of other organs. Local, regional, or general anaesthesia can be safely delivered to transplant recipients. Specific anaesthetic considerations related to the type of transplantation, have an impact directly on anaesthetic and perioperative management. Since anaesthetists and surgeons in hospitals who are not involved in transplantations, may be required to manage paediatric transplant recipients, the reviews of the existing experience in this field will be valuable tools in their hands.</description><subject>anaesthesia</subject><subject>Anesthesia</subject><subject>Anesthesia - adverse effects</subject><subject>Anesthesia - methods</subject><subject>Anesthesia depending on patient's condition</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Humans</subject><subject>immunosuppression</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Organ Transplantation</subject><subject>Perioperative Care - methods</subject><subject>rejection</subject><subject>surgery</subject><subject>Surgical Procedures, Operative</subject><subject>transplantation</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE2P0zAQhi0EYpeFv4B8gVuCPxP3wKGsYEFaFQ4gJC5mnEyKS-IEO4X23-PQavfKxR5pnnc8fgihnJWcqerVruSqYsVKr0QpGJMl40zr8vCAXN41Huaaa13oSukL8iSlHWNciko8JhcZ4nXuXpLv6wCY5h84-4ZCaOmE0Y_5gNn_RjpAgC0OGGY6dnQCbD3MMaNj3EKgERs_-dxN1AcaxjBHCGnqIfNpH7cYj0_Jow76hM_O9xX58u7t5-v3xe3Hmw_X69uiUVLqgitnuDSdq4WonEGujHaOazDKgUKN2K6MQClMI2rB2layyjClGTbCOZDyirw8zZ3i-Gufv2QHnxrs8y447pOtuazzzCqD5gQ2cUwpYmen6AeIR8uZXezanV0k2kWiXezaf3btIUefn9_YuwHb--BZZwZenAFIDfRdttH4dM9pYQzXLHOvT9wf3-Pxvxewn9abpcr54pT3acbDXR7iT1vVstb26-bGftPsTS032jL5F4wZpaA</recordid><startdate>200311</startdate><enddate>200311</enddate><creator>Kostopanagiotou, Georgia</creator><creator>Smyrniotis, Vassilios</creator><creator>Arkadopoulos, Nikolaos</creator><creator>Contis, John</creator><creator>Briassoulis, George</creator><creator>Kostopanagiotou, Elias</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200311</creationdate><title>Anaesthetic and perioperative management of paediatric organ recipients in nontransplant surgery</title><author>Kostopanagiotou, Georgia ; Smyrniotis, Vassilios ; Arkadopoulos, Nikolaos ; Contis, John ; Briassoulis, George ; Kostopanagiotou, Elias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4335-14b8138fb7226b8e1485bb15a84ba4e5eed982e328c2720dd30680450ec2bba33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>anaesthesia</topic><topic>Anesthesia</topic><topic>Anesthesia - adverse effects</topic><topic>Anesthesia - methods</topic><topic>Anesthesia depending on patient's condition</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Humans</topic><topic>immunosuppression</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Organ Transplantation</topic><topic>Perioperative Care - methods</topic><topic>rejection</topic><topic>surgery</topic><topic>Surgical Procedures, Operative</topic><topic>transplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kostopanagiotou, Georgia</creatorcontrib><creatorcontrib>Smyrniotis, Vassilios</creatorcontrib><creatorcontrib>Arkadopoulos, Nikolaos</creatorcontrib><creatorcontrib>Contis, John</creatorcontrib><creatorcontrib>Briassoulis, George</creatorcontrib><creatorcontrib>Kostopanagiotou, Elias</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kostopanagiotou, Georgia</au><au>Smyrniotis, Vassilios</au><au>Arkadopoulos, Nikolaos</au><au>Contis, John</au><au>Briassoulis, George</au><au>Kostopanagiotou, Elias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anaesthetic and perioperative management of paediatric organ recipients in nontransplant surgery</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2003-11</date><risdate>2003</risdate><volume>13</volume><issue>9</issue><spage>754</spage><epage>763</epage><pages>754-763</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Summary
The number and success rate of paediatric organ transplantation continue to improve yearly, and the number of transplanted children presenting for either elective or emergency nontransplant surgery is expected to increase accordingly. The general considerations related to any transplant recipient are the physiological and pharmacological problems of allograft denervation, the side effects of immunosuppression, the risk of infection, and the potential for rejection. Preoperative assessment of transplant recipients undergoing non‐transplant surgery should focus on graft function, the risk of infection, and function of other organs. Local, regional, or general anaesthesia can be safely delivered to transplant recipients. Specific anaesthetic considerations related to the type of transplantation, have an impact directly on anaesthetic and perioperative management. Since anaesthetists and surgeons in hospitals who are not involved in transplantations, may be required to manage paediatric transplant recipients, the reviews of the existing experience in this field will be valuable tools in their hands.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>14617115</pmid><doi>10.1046/j.1460-9592.2003.01055.x</doi><tpages>10</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | anaesthesia Anesthesia Anesthesia - adverse effects Anesthesia - methods Anesthesia depending on patient's condition Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Child Child, Preschool Humans immunosuppression Infant Infant, Newborn Medical sciences Organ Transplantation Perioperative Care - methods rejection surgery Surgical Procedures, Operative transplantation |
| title | Anaesthetic and perioperative management of paediatric organ recipients in nontransplant surgery |
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