Anesthesia and perioperative care for solid organ transplantation

Improvement of analgesic efficacy for total hip arthroplasty by a modified ultrasound‐guided supra‐inguinal fascia iliaca compartment block

Fascia iliaca compartment block (FICB) is an anterior approach to the lumbar plexus block and provides the effective adjunctive analgesia for total hip arthroplasty (THA).

Authors: Ting Zheng, Bin Hu, Chun-ying Zheng, Feng-yi Huang, Fei Gao and Xiao-chun Zheng

Dexamethasone blunts postspinal hypotension in geriatric patients undergoing orthopedic surgery: a double blind, placebo-controlled study

Post-spinal anesthesia (PSA) hypotension in elderly patients is challenging. Correction of PSA hypotension by fluids either colloids or crystalloids or by vasoconstrictors pose the risk of volume overload or c...

Authors: Tarek M. Ashoor, Noha S. Hussien, Sherif G. Anis and Ibrahim M. Esmat

Comparison of the impact of propofol versus sevoflurane on early postoperative recovery in living donors after laparoscopic donor nephrectomy: a prospective randomized controlled study

Enhancing postoperative recovery of the donor is important to encourage living kidney donation. We investigated the effects of anesthetic agents (intravenous [IV] propofol versus inhaled [IH] sevoflurane) on t...

Authors: Sangbin Han, Jaesik Park, Sang Hyun Hong, Soojin Lim, Yong Hyun Park and Min Suk Chae

Effects of propofol and sevoflurane on hepatic blood flow: a randomized controlled trial

Maintaining adequate perioperative hepatic blood flow (HBF) supply is essential for preservation of postoperative normal liver function. Propofol and sevoflurane affect arterial and portal HBF. Previous studie...

Authors: Jurgen van Limmen, Piet Wyffels, Frederik Berrevoet, Aude Vanlander, Laurent Coeman, Patrick Wouters, Stefan De Hert and Luc De Baerdemaeker

Effects of Desflurane and Sevoflurane anesthesia on regulatory T cells in patients undergoing living donor kidney transplantation: a randomized intervention trial

Volatile anesthetic agents used during surgery have immunomodulatory effects which could affect postoperative outcomes. Recognizing that regulatory T cells (Tregs) plays crucial roles in transplant tolerance a...

Authors: Arpa Chutipongtanate, Sasichol Prukviwat, Nutkridta Pongsakul, Supanart Srisala, Nakarin Kamanee, Nuttapon Arpornsujaritkun, Goragoch Gesprasert, Nopporn Apiwattanakul, Suradej Hongeng, Wichai Ittichaikulthol, Vasant Sumethkul and Somchai Chutipongtanate

Delayed remnant kidney function recovery is less observed in living donors who receive an analgesic, intrathecal morphine block in laparoscopic nephrectomy for kidney transplantation: a propensity score-matched analysis

This study analyzed remnant kidney function recovery in living donors after laparoscopic nephrectomy to establish a risk stratification model for delayed recovery and further investigated clinically modifiable...

Authors: Jaesik Park, Minju Kim, Yong Hyun Park, Misun Park, Jung-Woo Shim, Hyung Mook Lee, Yong-Suk Kim, Young Eun Moon, Sang Hyun Hong and Min Suk Chae

Effects of dexmedetomidine on stress hormones in patients undergoing cardiac valve replacement: a randomized controlled trial

Stress response always occurs in cardiac valve replacement patients undergoing cardiopulmonary bypass (CPB).

Authors: Hanhua Wu, Jinqing Tang, Jiamei Pan, Ming Han, Huijun Cai and Hong Zhang

SUGAMMADEX versus neostigmine after ROCURONIUM continuous infusion in patients undergoing liver transplantation

Rapid neuromuscular block reversal at the end of major abdominal surgery is recommended to avoid any postoperative residual block. To date, no study has evaluated sugammadex performance after rocuronium admini...

Authors: Cristian Deana, Federico Barbariol, Stefano D’Incà, Livia Pompei and Giorgio Della Rocca

Liver transplantation in Jehovah’s witnesses: 13 consecutive cases at a single institution

Jehovah’s Witnesses represent a tremendous clinical challenge when indicated to liver transplantation because they refuse blood transfusion on religious grounds and the procedure is historically associated wit...

Authors: Diego Costanzo, Maria Bindi, Davide Ghinolfi, Massimo Esposito, Francesco Corradi, Francesco Forfori, Paolo De Simone, Andrea De Gasperi and Gianni Biancofiore

Predictive risk factors for postoperative pneumonia after heart transplantation

Pneumonia is a frequent complication in patients undergoing heart transplantation (HTx) that increases morbidity and mortality in this population. Nevertheless, the risk factors for postoperative pneumonia (PO...

Authors: Charles Vidal, Romain Pasqualotto, Arthur James, Pauline Dureau, Julie Rasata, Guillaume Coutance, Shaida Varnous, Pascal Leprince, Julien Amour and Adrien Bouglé

Intraoperative glycemic control in patients undergoing Orthotopic liver transplant: a single center prospective randomized study

Perioperative hyperglycemia is associated with poor outcomes yet evidence to guide intraoperative goals and treatment modalities during non-cardiac surgery are lacking. End-stage liver disease is associated wi...

Authors: Sathish S. Kumar, Shawn J. Pelletier, Amy Shanks, Aleda Thompson, Christopher J. Sonnenday and Paul Picton

A retrospective study of the relationship between postoperative urine output and one year transplanted kidney function

Kidney transplantation (KT) is the most obvious method of treating a patient with end-stage renal disease. In the early stages of KT, urine production is considered a marker of successful reperfusion of the ki...

Authors: Joungmin Kim, Taehee Pyeon, Jeong Il Choi, Jeong Hyeon Kang, Seung Won Song, Hong-Beom Bae and Seongtae Jeong

Intraoperative TOE guided management of newly diagnosed severe tricuspid regurgitation and pulmonary hypertension during orthotopic liver transplantation: a case report demonstrating the importance of reversibility as a favorable prognostic factor

Tricuspid regurgitation (TR) and pulmonary hypertension (PHT) are highly dynamic cardiovascular lesions that may progress rapidly, particularly in the orthotopic liver transplantation (OLT) waitlist population...

Authors: B. Pearce, R. Hu, F. Desmond, D. Banyasz, R. Jones and C. O. Tan

Analysis of pre- and intraoperative clinical factors for successful operating room extubation after living donor liver transplantation: a retrospective observational cohort study

Early extubation after liver transplantation is safe and accelerates patient recovery. Patients with end-stage liver disease undergo sarcopenic changes, and sarcopenia is associated with postoperative morbidit...

Authors: Min Suk Chae, Jong-Woan Kim, Joon-Yong Jung, Ho Joong Choi, Hyun Sik Chung, Chul Soo Park, Jong Ho Choi and Sang Hyun Hong

The validity of central venous to arterial carbon dioxide difference to predict adequate fluid management during living donor liver transplantation. A prospective observational study

To assess the validity of central and pulmonary veno-arterial CO₂ gradients to predict fluid responsiveness and to guide fluid management during liver transplantation.

Authors: Mohamed ELAyashy, Hisham Hosny, Amr Hussein, Ahmed AbdelAal Ahmed Mahmoud, Ahmed Mukhtar, Amira El-Khateeb, Mohamed Wagih, Fawzia AboulFetouh, Amr Abdelaal, Hany Said and Mostafa Abdo

Intraoperative management of brain-dead organ donors by anesthesiologists during an organ procurement procedure: results from a French survey

This study aimed at describing usual anesthetic practices for brain-dead donors (BDD) during an organ procurement (OP) procedure and to assess the knowledge and self-confidence of French anesthesiologists with...

Authors: Benoit Champigneulle, Arthur Neuschwander, Régis Bronchard, Gersende Favé, Julien Josserand, Benjamin Lebas, Olivier Bastien and Romain Pirracchio

Validity of mini-fluid challenge for predicting fluid responsiveness following liver transplantation

Mini-fluid challenge is a well tested and effective tool to predict fluid responsiveness under various clinical conditions. However, mini-fluid challenge has never been tested in patients with end-stage liver ...

Authors: Ahmed Mukhtar, Maha Awad, Mohamed Elayashy, Amr Hussein, Gihan Obayah, Akram El Adawy, Mai Ahmed, Hisham Abul Dahab, Ahmed Hasanin, Amr Elfouly, Mostafa Abdo, Amr Abdelaal and Jean Louis Teboul

Organ transplantation in the modern era

Authors: Dmitri Bezinover and Fuat Saner