bandage-green

Liver Transplantation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, one arm extended
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Aspiration risk / Full stomach, Central line, High Blood Loss

Anesthetic Approaches

1GETT
The Surgery

Incision and exploration - a bilateral subcostal incision with a midline extension to the xiphoid, then manual exploration to exclude occult malignancy or sepsis before the transplant is committed....

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