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Postoperative Care of a Liver Transplant Recipient Using a Classification System: Type A (Stable) Versus Type B (Unstable)

Coscia, Cari BSN, RN; Saxton, Ernest BSN, RN; Dickinson, Sharon MSN, RN

doi: 10.1097/CNQ.0000000000000119
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Liver transplantation has become an effective and valuable option for patients with end-stage liver disease and hepatocellular carcinoma. Liver failure, an acute or chronic condition, results in impaired bile production and excretion, clotting factor production, protein synthesis, and regulation of metabolism and glucose. Some acute conditions of liver disease have the potential to recover if the liver heals on its own. However, chronic conditions, such as cirrhosis, often lead to irreversible disease and require liver transplantation. In this publication, we review the pathophysiology of liver failure, examine common conditions that ultimately lead to liver transplantation, and discuss the postoperative management of patients who are either hemodynamically stable (type A) or unstable (type B).

Surgical Intensive Care Unit, University of Michigan Health System, Ann Arbor.

Correspondence: Sharon P. Dickinson, MSN, RN, Surgical Intensive Care Unit, University of Michigan Health System, 1500 East Medical Center Dr, Box 0076, Ann Arbor, MI 48109 (sdickins@umich.edu).

The authors have no conflicts of interest or funding to disclose.

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