Living related small bowel transplantation: Anaesthesia and peri-operative care

The peri-operative management of the only surviving case, to date, of living-related small bowel transplantation is described. The anaesthetic technique was chosen to optimize hepato-splanchnic blood flow. Peri-operative splanchnic blood flow was measured and alterations in flow with changes in inot...

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Veröffentlicht in:	European journal of anaesthesiology 1997-07, Vol.14 (4), p.450-454
Hauptverfasser:	Bellamy, M. C., Enright, S. M., Young, Y., Pollard, S., Lodge, P., O'Beirne, H. A.
Format:	Artikel
Sprache:	eng
Schlagworte:	(RD) Surgery Adult Anesthesia, Inhalation Biological and medical sciences Blood Volume Case Report Female Humans Intestine, Small - diagnostic imaging Intestine, Small - transplantation Intraoperative Care Medical sciences Middle Aged peri‐operative care Splanchnic Circulation - physiology Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Tissue Donors transplantation, small bowel living related, anaesthesia Ultrasonography
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Zusammenfassung:	The peri-operative management of the only surviving case, to date, of living-related small bowel transplantation is described. The anaesthetic technique was chosen to optimize hepato-splanchnic blood flow. Peri-operative splanchnic blood flow was measured and alterations in flow with changes in inotropic agents and volume loading monitored. There appears to be a role for the use of dopexamine and aggressive volume loading.
ISSN:	0265-0215 1365-2346
DOI:	10.1046/j.1365-2346.1997.00186.x