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肝移植麻醉

Anesthesia for Liver Transplantation.

作者信息

Adelmann Dieter, Kronish Kate, Ramsay Michael A

机构信息

Department of Anesthesiology and Perioperative Care, University of California San Francisco, Box O648, 4th Floor MUE, 500 Parnassus Avenue, San Francisco, CA 94143, USA.

Department of Anesthesiology, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA.

出版信息

Anesthesiol Clin. 2017 Sep;35(3):491-508. doi: 10.1016/j.anclin.2017.04.006. Epub 2017 Jul 10.

Abstract

The provision of anesthesia for a liver transplant program requires a dedicated team of anesthesiologists. Liver transplant anesthesiologists must have an understanding of liver physiology and anatomy; the spectrum of clinical disease associated with liver dysfunction; the impact of warm and cold ischemia times, surgical techniques in liver transplantation, and the impact of ischemia-reperfusion syndrome; and optimal practices to protect the liver. The team must provide a 24-hour service, be actively involved in the selection committee process, and stay current with advances in the subspecialty.

摘要

为肝脏移植项目提供麻醉需要一支专业的麻醉医生团队。肝脏移植麻醉医生必须了解肝脏生理学和解剖学;与肝功能障碍相关的临床疾病谱;热缺血和冷缺血时间的影响、肝脏移植的手术技术以及缺血再灌注综合征的影响;以及保护肝脏的最佳做法。该团队必须提供24小时服务,积极参与选拔委员会的工作,并紧跟该亚专业的进展。

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