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The Practice of Fast-Track Liver Transplant Anesthesia
Prior to the 1990s, prolonged postoperative intubation and admission to the intensive care unit was considered the standard of care following liver transplantation. Advocates of this practice speculated that this time allowed patients to recover from the stress of major surgery and allowed their cli...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219048/ https://www.ncbi.nlm.nih.gov/pubmed/37240637 http://dx.doi.org/10.3390/jcm12103531 |
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author | Aniskevich, Stephen Scott, Courtney L. Ladlie, Beth L. |
author_facet | Aniskevich, Stephen Scott, Courtney L. Ladlie, Beth L. |
author_sort | Aniskevich, Stephen |
collection | PubMed |
description | Prior to the 1990s, prolonged postoperative intubation and admission to the intensive care unit was considered the standard of care following liver transplantation. Advocates of this practice speculated that this time allowed patients to recover from the stress of major surgery and allowed their clinicians to optimize the recipients’ hemodynamics. As evidence in the cardiac surgical literature on the feasibility of early extubation grew, clinicians began applying these principles to liver transplant recipients. Further, some centers also began challenging the dogma that patients need to be cared for in the intensive care unit following liver transplantation and instead transferred patients to the floor or stepdown units immediately following surgery, a technique known as “fast-track” liver transplantation. This article aims to provide a history of early extubation for liver transplant recipients and offer practical advice on how to select patients that may be able to bypass the intensive care unit and be recovered in a non-traditional manner. |
format | Online Article Text |
id | pubmed-10219048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-102190482023-05-27 The Practice of Fast-Track Liver Transplant Anesthesia Aniskevich, Stephen Scott, Courtney L. Ladlie, Beth L. J Clin Med Review Prior to the 1990s, prolonged postoperative intubation and admission to the intensive care unit was considered the standard of care following liver transplantation. Advocates of this practice speculated that this time allowed patients to recover from the stress of major surgery and allowed their clinicians to optimize the recipients’ hemodynamics. As evidence in the cardiac surgical literature on the feasibility of early extubation grew, clinicians began applying these principles to liver transplant recipients. Further, some centers also began challenging the dogma that patients need to be cared for in the intensive care unit following liver transplantation and instead transferred patients to the floor or stepdown units immediately following surgery, a technique known as “fast-track” liver transplantation. This article aims to provide a history of early extubation for liver transplant recipients and offer practical advice on how to select patients that may be able to bypass the intensive care unit and be recovered in a non-traditional manner. MDPI 2023-05-18 /pmc/articles/PMC10219048/ /pubmed/37240637 http://dx.doi.org/10.3390/jcm12103531 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Aniskevich, Stephen Scott, Courtney L. Ladlie, Beth L. The Practice of Fast-Track Liver Transplant Anesthesia |
title | The Practice of Fast-Track Liver Transplant Anesthesia |
title_full | The Practice of Fast-Track Liver Transplant Anesthesia |
title_fullStr | The Practice of Fast-Track Liver Transplant Anesthesia |
title_full_unstemmed | The Practice of Fast-Track Liver Transplant Anesthesia |
title_short | The Practice of Fast-Track Liver Transplant Anesthesia |
title_sort | practice of fast-track liver transplant anesthesia |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219048/ https://www.ncbi.nlm.nih.gov/pubmed/37240637 http://dx.doi.org/10.3390/jcm12103531 |
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