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Anesthetic and perioperative management of intestinal and multivisceral allograft recipient in nontransplant surgery.
Authors:Georgia Kostopanagiotou  Tatiana Sidiropoulou  Nikolaos Pyrsopoulos  Ernesto A Pretto  Ageliki Pandazi  Paraskevi Matsota  Nikolaos Arkadopoulos  Vassilios Smyrniotis  Andreas G Tzakis
Affiliation:Second Department of Anesthesiology, School of Medicine, University of Athens, Attikon Hospital, Athens, Greece. banesthclin@attikonhospital.gr
Abstract:
As the survival rate of the intestinal and multi-visceral transplant recipients continues to improve, an increasing number of these patients present for either elective or emergency surgery related or unrelated to transplantation. The aim of this review is to focus on clinical issues related to the anesthetic and perioperative management of the intestinal or multi-visceral transplant recipient for nontransplant surgery. Specific issues concerning perioperative assessment and medications, choice of anesthetic drugs and techniques, and postoperative care management are reviewed.
Keywords:anesthesia    immunosuppression    intestinal transplantation    multivisceral transplantation    nontransplant surgery    perioperative management
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