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Perioperative care for organ transplantation

Guest editors: Dr. Dmitri Bezinover and Dr. Fuat Saner

The perioperative care of patients requiring organ transplantation can be extremely challenging. Over the last fifty years, outcomes of solid organ transplantation have improved significantly. This progress has been possible, not only because of improvements in surgical techniques, but also due to new knowledge in the understanding of organ failure physiology, extensive research in the field of immunosuppression, and optimization of perioperative care. This has resulted in reduction of perioperative morbidity and mortality, and improved patient survival.

The scope of the thematic series includes, but is not limited to the followings topics: preoperative patient selection and cardio-pulmonary evaluation; association between preoperative conditions and postoperative outcomes; dealing with intraoperative problems, including hemodynamic instability, bleeding versus clotting, and electrolyte abnormalities; postoperative survival and complications; management of infection in the immunosuppressed patient. We will also welcome interesting case reports describing unusual clinical conditions related to: solid organ transplantation, management of non-standard situations and presentation of unusual complications.

  1. 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
    Citation: BMC Anesthesiology 2019 19:111
  2. The beneficial effects of epidural analgesia (EDA) in terms of pain control and postoperative convalescence are widely known and led to a frequent use for patients who underwent living donor kidney nephrectomy...

    Authors: Wolfgang Baar, Ulrich Goebel, Hartmut Buerkle, Bernd Jaenigen, Kai Kaufmann and Sebastian Heinrich
    Citation: BMC Anesthesiology 2019 19:38
  3. Patients undergoing liver transplantation (LT) can develop acute heart failure (HF) in the postoperative period despite having had a normal cardiac evaluation prior to surgery. End-stage liver disease is often...

    Authors: Sonal Sharma, Kunal Karamchandani, Ryan Wilson, Sean Baskin and Dmitri Bezinover
    Citation: BMC Anesthesiology 2018 18:102
  4. ABO-incompatible living-donor kidney transplantation (LDKT) requires immunotherapy and plasma exchange therapy (PEX). PEX with albumin replacement fluid reportedly decreases fibrinogen levels. However, no repo...

    Authors: Kazuhiro Shirozu, Naoyuki Fujimura, Yuji Karashima, Mizuko Ikeda, Hidehisa Kitada, Yasuhiro Okabe, Kei Kurihara, Tomoko Henzan and Sumio Hoka
    Citation: BMC Anesthesiology 2018 18:68
  5. Bacterial translocation (BT) has been proposed as a trigger for stimulation of the immune system with consequent hemodynamic alteration in patients with liver cirrhosis. However, no information is available re...

    Authors: Heba A. Moharem, Fawzia Aboul Fetouh, Hamed M. Darwish, Doaa Ghaith, Mohamed Elayashy, Amr Hussein, Riham Elsayed, Mohammad M. Khalil, Amr Abdelaal, Mahmoud ElMeteini and Ahmed Mukhtar
    Citation: BMC Anesthesiology 2018 18:46
  6. The discrepancy between demand and supply for liver transplants (LT) has led to an increased transplantation of organs from extended criteria donors (ECD).

    Authors: Felix Kork, Alexandra Rimek, Anne Andert, Niklas Jurek Becker, Christoph Heidenhain, Ulf P. Neumann, Daniela Kroy, Anna B. Roehl, Rolf Rossaint and Marc Hein
    Citation: BMC Anesthesiology 2018 18:29

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