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Procedure: Liver Transplant

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Total 21872 results found since Jan 2013.

Factor VII and thromboembolism
Publication date: Available online 18 April 2018 Source:Trends in Anaesthesia and Critical Care Author(s): Ayten Saracoglu, Tiago Cardoso Recombinant activated factor VIIa (rFVIIa) is a potent haemostatic agent originally developed for the treatment of haemophilia patients with inhibitors against factor FVIII or FIX. In approved indications, the safety profile of rFVIIa is favourable without major concerns. The prevalence of thromboembolic (TE) complications is less than 4/100.000 with fatal events being extremely rare. Also, the majority of reported events occurred in elderly patients with predisposing factors for TE com...
Source: Trends in Anaesthesia and Critical Care - April 19, 2018 Category: Anesthesiology Source Type: research

A Specialized Transplantation Critical Care Model: Expanding Liver Transplantation Access to High Acuity Patients
This article provides an overview of a transplantation critical care model (TCCM) to increase liver transplantation access and optimize post-OLT outcomes in high acuity patients.
Source: Transplantation Proceedings - March 15, 2018 Category: Transplant Surgery Authors: Michael A. Zimmerman, Motaz Selim, Joohyun Kim, Michelle Kozeniecki, Johnny C. Hong Source Type: research

Management of Amanita phalloides poisoning: A literature review and update
Publication date: August 2018Source: Journal of Critical Care, Volume 46Author(s): Yongzhuang Ye, Zhenning LiuAbstractAmanita phalloides poisoning with a high mortality is a serious health problem in the world. The typical clinical manifestations are usually characterized by the absence of any symptoms followed by severe gastrointestinal disorders and acute liver failure. Inhibition of RNA polymeraseII (RNAP II) activity, apoptosis, and oxidative stress are considered as the major mechanism of amatoxins intoxication. The current treatment measures mainly include prevention of amatoxins absorption, elimination of absorbed a...
Source: Journal of Critical Care - July 5, 2018 Category: Gastroenterology Source Type: research

From Death to Health in 30 Days: A Hemochromatosis Case Report.
DISCUSSION: The uniqueness of this case illustrates the crucial role of a health care team that persisted in differentiating the patient's diagnosis and continued to sustain both physical and emotional care throughout his hospitalization despite a poor prognosis. The patient felt support from this team during the course of his illness, from requiring life-supporting care in intensive care unit to returning home and resuming his normal activities of daily living. PMID: 30063517 [PubMed - in process]
Source: Dimensions in Critical Care Nursing - August 1, 2018 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Caring for the Critically Ill Liver Transplant Patients: A Fifty-Year Journey!
I am truly excited, honored, and humbled to serve as an editor for this special issue of Critical Care Clinics titled as Caring for the Critically Ill Liver Transplant Patients.
Source: Critical Care Clinics - October 17, 2018 Category: Intensive Care Authors: Ali Al-Khafaji Tags: Preface Source Type: research

Critical Care Management of Living Donor Liver Transplants
This article represents a review of the postoperative management of donors and recipients after living donor liver transplant, including monitoring, liberation from mechanical ventilation, nutritional support, and pain control. Vascular complications, such as biliary and sepsis, and bleeding are also discussed. Finally, commonly used immunosuppression and antimicrobial prophylaxes are reviewed.
Source: Critical Care Clinics - October 25, 2018 Category: Intensive Care Authors: Kristina Lemon, Ali Al-Khafaji, Abhinav Humar Source Type: research

Intensive care management of liver transplant recipients
Purpose of review Liver transplantation remains the only definitive treatment for advanced liver disease and liver failure. Current allocation schemes utilized for liver transplantation mandate a ‘sickest first’ approach, thus most liver transplants occur in patients with severe systemic illness. For intensive care providers who care for liver transplant recipients, a foundation of knowledge of technical considerations of orthotopic liver transplantation, basic management considerations, and common complications is essential. This review highlights the authors’ approach to intensive care management of the postope...
Source: Current Opinion in Critical Care - November 3, 2022 Category: Nursing Tags: THE SURGICAL PATIENT: Edited by Craig Coopersmith Source Type: research

Respiratory rate at intensive care unit discharge after liver transplant is an independent risk factor for intensive care unit readmission within the same hospital stay: A nested case-control study
Abstract: Purpose: Intensive care unit (ICU) readmission negatively impacts patients’ outcomes. We aimed to characterize and determine risk factors for ICU readmission within the initial hospital stay after liver transplant (LT).Materials and methods: The reference cohort included 369 LT recipients from a Canadian center between 2005 and 2012. One control was randomly selected per each case of ICU readmission within the initial hospital stay after LT. Survival analysis used the Kaplan-Meier method. Associations were studied by conditional logistic regression.Results: Fifty-two (14%) LT recipients were readmitted to the I...
Source: Journal of Critical Care - April 25, 2014 Category: Intensive Care Authors: Filipe S. Cardoso, Constantine J. Karvellas, Norman M. Kneteman, Glenda Meeberg, Pedro Fidalgo, Sean M. Bagshaw Tags: Outcomes Source Type: research

Cost‐benefit analysis of a delirium prevention strategy in the intensive care unit
ConclusionsA strategy is necessary for the delirium prevention of patients in the ICU to decrease the economic burden. Relevance to clinical practiceThis study demonstrated that a prevention strategy was cost‐effective because of its low input costs. With low additional investment, it is expected that this prevention strategy will be more available to other patients in the future.
Source: Nursing in Critical Care - October 30, 2014 Category: Nursing Authors: Eunhee Lee, Jinhyun Kim Tags: Research Source Type: research

Comparison of the diagnostic accuracy of measured and calculated free cortisol in acutely ill patients using the Coolens equation.
CONCLUSIONS: The observed bias between the two methods is of a magnitude that would be expected to produce clinically relevant discrepancies. Due to the proportional nature of the error, adding a correction factor is not feasible. Results obtained from using the Coolens method to calculate free cortisol concentration in acutely ill patients should be interpreted with caution. PMID: 23432500 [PubMed - indexed for MEDLINE]
Source: Critical Care and Resuscitation - November 25, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Perioperative Care of the Liver Transplant Patient
With the evolution of surgical and anesthetic techniques, liver transplantation has become “routine,” allowing for modifications of practice to decrease perioperative complications and costs. There is debate over the necessity for intensive care unit admission for patients with satisfactory preoperative status and a smooth intraoperative course. Postoperative care is made easier when the liver graft performs optimally. Assessment of graft function, vigilance for complications after the major surgical insult, and optimization of multiple systems affected by liver disease are essential aspects of postoperative care. The ...
Source: Critical Care Clinics - June 21, 2016 Category: Intensive Care Authors: Mark T. Keegan, David J. Kramer Source Type: research

Cost ‐benefit analysis of a delirium prevention strategy in the intensive care unit
ConclusionsA strategy is necessary for the delirium prevention of patients in the ICU to decrease the economic burden. Relevance to clinical practiceThis study demonstrated that a prevention strategy was cost‐effective because of its low input costs. With low additional investment, it is expected that this prevention strategy will be more available to other patients in the future.
Source: Nursing in Critical Care - October 28, 2014 Category: Nursing Authors: Eunhee Lee, Jinhyun Kim Tags: Research Source Type: research

Perioperative Care of the Liver Transplant Patient
With the evolution of surgical and anesthetic techniques, liver transplantation has become “routine,” allowing for modifications of practice to decrease perioperative complications and costs. There is debate over the necessity for intensive care unit admission for patients with satisfactory preoperative status and a smooth intraoperative course. Postoperative care is made easier when the liver graft performs optimally. Assessment of graft function, vigilance for complications after the major surgical insult, and optimization of multiple systems affected by liver disease are essential aspects of postoperative care. The ...
Source: Critical Care Clinics - June 30, 2016 Category: Intensive Care Authors: Mark T. Keegan, David J. Kramer Source Type: research

Extended normothermic extracorporeal perfusion of isolated human liver after warm ischaemia: a preliminary report.
CONCLUSIONS: Our experiments justify further investigations of the feasibility and efficacy of extended DCD liver preservation by ex-vivo perfusion. PMID: 25161022 [PubMed - indexed for MEDLINE]
Source: Critical Care and Resuscitation - November 25, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research