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Current approach to intraoperative monitoring in liver transplantation

Krenn, Claus-Georga; De Wolf, Andre Mb

Current Opinion in Organ Transplantation: June 2008 - Volume 13 - Issue 3 - p 285–290
doi: 10.1097/MOT.0b013e3283005832
Anesthesiology: Edited by M. Susan Mandell and Claus U. Niemann

Purpose of review Although liver transplantation has become a standardized treatment and the only established definite therapy for end-stage liver disease it remains a unique clinical procedure. Increased understanding of the specific pathophysiological changes in end-stage liver disease and the transplantation procedure have led to the adaptation of concepts including overall monitoring of the patient and assessment of specific organ function.

Recent findings Major emphasis is placed on adequate monitoring during perioperative care of liver transplantation patients in order to ensure optimal hemodynamic and respiratory performance. The immediate assessment of metabolism and graft function will also serve to guide therapy according to the individual patient's needs.

Summary The evolution of monitoring during standardized liver transplantation, as well as currently recommended novel devices and concepts, are described and discussed.

aDepartment of Anaesthesia, General Intensive Care and Pain Medicine, Medical University of Vienna, Vienna, Austria

bDepartment of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago Illinois, USA

Correspondence to Claus-Georg Krenn, MD, PhD, Department of Anaesthesia, General Intensive Care and Pain Medicine, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria Tel: +43 1 40400 4100; fax: +43 1 40400 4028; e-mail: claus.krenn@meduniwien.ac.at

© 2008 Lippincott Williams & Wilkins, Inc.