Metabolic syndrome – evidence-based strategies for patient optimization
Publication date: Available online 21 April 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Shuhan J. Reyes, Taylor Pak, Tiffany Sun Moon (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - April 21, 2020 Category: Anesthesiology Source Type: research

Coagulation, hemostasis, and transfusion during liver transplantation
Publication date: Available online 16 March 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Carolyn Thai, Cynthia Oben, Gebhard Wagener (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - April 6, 2020 Category: Anesthesiology Source Type: research

The perioperative approach of the allergic patient
Publication date: Available online 3 April 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Vincent R. van Cuilenborg, Jeroen Hermanides, Elke M.E. Bos, Markus W. Hollmann, Benedikt Preckel, Fabian O. Kooij, Ingrid Terreehorst (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - April 3, 2020 Category: Anesthesiology Source Type: research

Enhanced recovery after surgery and practical application to liver transplantation
Publication date: Available online 18 February 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): M. Susan Mandell, Jiapeng Huang, Jing Zhao (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - April 3, 2020 Category: Anesthesiology Source Type: research

Coagulation, hemostasis and transfusion during liver transplantation
Publication date: Available online 16 March 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Carolyn Thai, Cynthia Oben, Gebhard Wagener (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - March 18, 2020 Category: Anesthesiology Source Type: research

Transplant anesthesia and critical care: current research and possible future developments
Publication date: Available online 12 March 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Claus U. Niemann, Gianni Biancofiore (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - March 12, 2020 Category: Anesthesiology Source Type: research

Perioperative management of antithrombotic treatment
Publication date: Available online 29 January 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Alberto Zanetto, Marco Senzolo, Annabel Blasi (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - March 11, 2020 Category: Anesthesiology Source Type: research

Preoperative cardiac assessment in liver transplant candidates
Publication date: Available online 18 February 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Andrea De Gasperi, Gregorio Spagnolin, Martina Ornaghi, Laura Petrò, Gianni BiancofioreAbstractNew and extended indications, older age, higher cardiovascular risk, and the long-standing cirrhosis - associated complications mandate specific skills for an appropriate preoperative assessment of the LT candidate. The incidence of cardiac diseases (dysrhythmias, cardiomyopathies, coronary artery disease, valvular heart disease) are increasing among LT recipients: however, no consensus exists among clinical pra...
Source: Best Practice and Research Clinical Anaesthesiology - February 19, 2020 Category: Anesthesiology Source Type: research

Enhanced recovery after surgery and practical application to liver transplanation
Publication date: Available online 18 February 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): M. Susan Mandell, Jiapeng Huang, Jing ZhaoAbstractThere is a growing support for the use of protocols that incorporate multiple steps aimed to reduce the time patients require to regain health. A recurring limitation is the variable outcomes of these protocols with more or less success at the sites they are instituted. This review examines the essential building blocks needed to launch a successful ERAS protocol. It address why there are differences in outcome measures between centers such as length of sta...
Source: Best Practice and Research Clinical Anaesthesiology - February 19, 2020 Category: Anesthesiology Source Type: research

Acute kidney injury: A critical care perspective for orthotopic liver transplantation
Publication date: Available online 17 December 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Andrew J. MacDonald, Constantine J. KarvellasAcute kidney injury (AKI) is associated with high perioperative mortality in patients undergoing liver transplantation (LT). In the era of Model of End-stage Liver Disease score-based allocation, more patients with impaired renal function are receiving LT. The majority of preoperative AKI is secondary to azotemia, including hepatorenal syndrome – a progressive form of renal impairment unique to liver failure. Prompt recognition and initiation of cause-directed...
Source: Best Practice and Research Clinical Anaesthesiology - February 6, 2020 Category: Anesthesiology Source Type: research

“Perioperative management of anti-thrombotic treatment”
Publication date: Available online 29 January 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Alberto Zanetto, Marco Senzolo, Annabel BlasiAbstractEnd stage liver disease is characterized by multiple and complex alterations of hemostasis that are associated with an increased risk of both bleeding and thrombosis. Liver transplantation further challenges the feeble hemostatic balance of patients with decompensated cirrhosis, and the management of anti-thrombotic treatment during and after transplant surgery is particularly difficult. Bleeding was traditionally considered the major concern during and e...
Source: Best Practice and Research Clinical Anaesthesiology - January 29, 2020 Category: Anesthesiology Source Type: research

Anesthesia for combined liver-thoracic transplantation
Publication date: Available online 25 January 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Miriam Zeillemaker - Hoekstra, Carlijn I. Buis, Vlado Cernak, Koen MEM. ReyntjensAbstractThe combined transplantation of a thoracic organ and the liver is performed in patients with dual-organ failure in whom survival is not expected with single-organ transplantation alone. Although uncommonly performed, the number of combined liver-lung and liver-heart transplants is increasing. Anesthetic management of this complex procedure is challenging. Major blood loss, prolonged operation time, difficult weaning of ...
Source: Best Practice and Research Clinical Anaesthesiology - January 25, 2020 Category: Anesthesiology Source Type: research

Critical Care Management in Patients with Acute Liver Failure
Publication date: Available online 23 January 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Nadja Rifaie, Fuat H. SanerAbstractAcute liver failure is defined as severe hepatic dysfunction (marked transaminases elevation, detoxification disorder (jaundice and coagulopathy with INR> 1.5)Presence of hepatic encephalopathy and exclusion of underlying chronic liver disease and a secondary cause like sepsis or cardiogenic shock.Reasons for acute liver failure includes paracetamol -and warfarin toxicity, autoimmune – and viral (mainly hepatitis B and E) hepatitis, herbal and dietary supplements. Even i...
Source: Best Practice and Research Clinical Anaesthesiology - January 23, 2020 Category: Anesthesiology Source Type: research

Economic considerations in abdominal transplantation
Publication date: Available online 22 January 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Evan E. Lebovitz, Anh Vinh T. Nguyen, Tetsuro SakaiAbstractCare for end-stage organ failure through transplant is one of the landmark accomplishments of the modern medicine. At the same time, organ transplant is a resource-intensive service that has been under increasing scrutiny in this era of cost containment. A detailed understanding of the economic implications of organ quality, recipient characteristics, and allocation policy is vital for the transplant professionals. Prior studies of kidney transplant...
Source: Best Practice and Research Clinical Anaesthesiology - January 22, 2020 Category: Anesthesiology Source Type: research

Perioperative considerations for kidney and pancreas-kidney transplantation
Publication date: Available online 22 January 2020Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Beatriz Tena, Marina VendrellSummaryKidney transplantation is the treatment of choice in patients with end-stage renal disease, as it improves survival and quality of life. Living donor kidney transplant prior to pancreas transplantation, or simultaneous pancreas and kidney transplantation are also discussed.Patients usually present comorbidities, and extensive preoperative workups are recommended, especially cardiac assessment, though type and frequency of surveillance is not established.Nefroprotective st...
Source: Best Practice and Research Clinical Anaesthesiology - January 22, 2020 Category: Anesthesiology Source Type: research