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hepatic arterial thrombosis

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6.4 - Management of the Critical Care Patient Following Liver Transplant
from Section 6 - Perioperative Care
- By Mike Spiro, Jeremy Fabes
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 635-637
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Summary

Key Learning Points
1. The demand for liver transplantation (LT) is expected to rise over time due to an increasing prevalence of end-stage liver disease (ESLD).
2. Perioperative management of LT patients, who are increasingly co-morbid, can be challenging.
3. Post-operative care in the ICU may minimise complications, particularly cardiovascular, renal and respiratory pathologies.
4. Management of post-operative coagulopathy and transfusion requires viscoelastic and other testing, beyond standard laboratory assays.
5. A low threshold of suspicion is required for detection of complications, especially of the hepatic vasculature.