Spiro Michael D, Eilers Helge
Anesthesia and Perioperative Care, University of California San Francisco School of Medicine, 513 Parnassus Avenue, Room S-436, Box 0427, San Francisco, CA 94143, USA.
Anesthesiol Clin. 2013 Dec;31(4):705-21. doi: 10.1016/j.anclin.2013.09.005. Epub 2013 Nov 6.
Patients undergoing abdominal organ transplantation have extensive comorbidities that can affect many organ systems including the cardiovascular system. Intraoperative anesthesia care can be very challenging and requires thorough understanding of the disease specific physiology as well as knowledge of the comorbidities and the surgical procedure. There is no approach to intraoperative anesthesia care that will work equally well for every center but standardization of protocols for each transplant center will improve patient care and safety and ultimately contributes to superior outcomes. In this article we provide background and suggestions that will help with the development of standardized protocols for intraoperative management.
接受腹部器官移植的患者存在多种合并症，这些合并症可影响包括心血管系统在内的多个器官系统。术中麻醉护理极具挑战性，需要深入了解特定疾病的生理学知识以及合并症和手术过程。没有一种适用于每个中心的术中麻醉护理方法，但每个移植中心的方案标准化将改善患者护理和安全，并最终有助于取得更好的结果。在本文中，我们提供背景信息和建议，以帮助制定术中管理的标准化方案。
