Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC; Outcomes Research Consortium, Cleveland, OH.
J Cardiothorac Vasc Anesth. 2021 Nov;35(11):3350-3361. doi: 10.1053/j.jvca.2020.12.005. Epub 2020 Dec 10.
A heart or liver transplantation procedure performed in isolation itself presents multiple challenges for the perioperative team. Accordingly, combining both transplants yields a vastly more complicated surgery, with many unique multisystem and multidisciplinary considerations. Although combined heart and liver transplantations are being performed with increasing frequency, nationwide experience is relatively limited at most institutions. The aim of this review is to discuss the perioperative challenges presented to the anesthesiology teams and provide evidence-based guidance for the management of these daunting procedures.
孤立进行心脏或肝脏移植手术本身就给围手术期团队带来了诸多挑战。因此，同时进行这两种移植会带来更加复杂的手术，涉及许多独特的多系统和多学科问题。尽管越来越多的中心正在频繁开展心脏和肝脏联合移植，但在大多数机构中，全国范围内的经验仍然相对有限。本文的目的是讨论麻醉团队在围手术期所面临的挑战，并为这些艰巨手术的管理提供循证指导。
