scholarly journals Hemodynamic Optimization Strategies in Anesthesia Care for Liver Transplantation

2017 ◽  
Author(s):  
Alexander A. Vitin ◽  
Dana Tomescu ◽  
Leonard Azamfirei
Keyword(s):  
Liver Transplantation ◽  
Anesthesia Care ◽  
Hemodynamic Optimization

Anesthesia care for liver transplantation

2011 ◽  
Vol 25 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Michael J. Hannaman ◽  
Zoltan G. Hevesi
Keyword(s):  
Liver Transplantation ◽  
Anesthesia Care

scholarly journals The Impact of Exposure to Liver Transplantation Anesthesia on the Ability to Treat Intraoperative Hyperkalemia: A Simulation Experience

2015 ◽  
Vol 100 (4) ◽  
pp. 672-677 ◽  
Author(s):  
Dung Nguyen ◽  
Shira Gurvitz-Gambrel ◽  
Paul A. Sloan ◽  
Jeremy S. Dority ◽  
Amy DiLorenzo ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Clinical Skills ◽  
Patient Simulation ◽  
The United States ◽  
Pharmacologic Therapy ◽  
Anesthesia Care ◽  
Human Patient ◽  
Liver Transplantations ◽  
Simulation Scenario ◽  
The Impact

The objective of this study was to assess whether resident exposure to liver transplantation anesthesia results in improved patient care during a simulated critical care scenario. Our hypothesis was that anesthesia residents exposed to liver transplantation anesthesia care would be able to identify and treat a simulated hyperkalemic crisis after reperfusion more appropriately than residents who have not been involved in liver transplantation anesthesia care. Participation in liver transplantation anesthesia is not a mandatory component of the curriculum of anesthesiology training programs in the United States. It is unclear whether exposure to liver transplantation anesthesia is beneficial for skill set development. A high-fidelity human patient simulation scenario was developed. Times for administration of epinephrine, calcium chloride, and secondary hyperkalemia treatment were recorded. A total of 25 residents with similar training levels participated: 13 residents had previous liver transplantation experience (OLT), whereas 12 residents had not been previously exposed to liver transplantations (non-OLT). The OLT group performed better in recognizing and treating the hyperkalemic crisis than the non-OLT group. Pharmacologic therapy for hyperkalemia was given earlier (OLT 53.3 ± 27.0 seconds versus non-OLT 148 ± 104.1 seconds; P < 0.01) and hemodynamics restored quicker (OLT 87.9 ± 24.9 seconds versus non-OLT 219.9 ± 87.1 seconds; P < 0.01). Simulation-based assessment of clinical skills is a useful tool for evaluating anesthesia resident performance during an intraoperative crisis situation related to liver transplantations. Previous liver transplantation experience improves the anesthesia resident's ability to recognize and treat hyperkalemic cardiac arrest.

Risk factors for mortality on the liver waiting list of cirrhotic patients listed for liver transplantation

2001 ◽  
Vol 120 (5) ◽  
pp. A77-A77
Author(s):  
D DELPHINE ◽  
F AGNESE ◽  
B NADINE ◽  
L OLIVIER ◽  
L HUBERT ◽  
...  
Keyword(s):  
Risk Factors ◽  
Liver Transplantation ◽  
Waiting List ◽  
Cirrhotic Patients

Evolution of hepatitis C virus quasispecies after liver transplantation

2001 ◽  
Vol 120 (5) ◽  
pp. A373-A374
Author(s):  
A LYRA ◽  
X FAN ◽  
S RAMRAKHIANI ◽  
A DIBISCEGLIE
Keyword(s):  
Liver Transplantation ◽  
Hepatitis C Virus ◽  
Hepatitis C
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