Member-only story

ICU Care of Abdominal Organ Transplant Patients: A Comprehensive Guide

Everett Bell

·18.3k Followers· Follow

Published in ICU Care Of Abdominal Organ Transplant Patients (Pittsburgh Critical Care Medicine)

4 min read · 3 weeks before

600 View Claps

39 Respond

Save

Listen

Abdominal organ transplantation is a life-saving procedure that can restore function to patients with end-stage organ failure. The intensive care unit (ICU) plays a crucial role in the care of these patients, both before and after surgery. This comprehensive guide provides an overview of the entire ICU care process for abdominal organ transplant patients.

ICU Care of Abdominal Organ Transplant Patients (Pittsburgh Critical Care Medicine)

by Amy Daws

4.1 out of 5

Language	:	English
File size	:	5405 KB
Screen Reader	:	Supported
Print length	:	304 pages
Lending	:	Enabled
X-Ray for textbooks	:	Enabled

Preoperative Assessment

The preoperative assessment of abdominal organ transplant patients is essential for optimizing outcomes. This assessment includes:

A detailed medical history and physical examination
Laboratory tests to assess organ function and overall health
Imaging studies to visualize the organs and plan the surgical approach
Psychological evaluation to assess the patient's emotional and mental readiness for transplantation

Intraoperative Management

The intraoperative management of abdominal organ transplant patients requires a multidisciplinary team of surgeons, anesthesiologists, and nurses. The team works together to ensure that the surgery is performed safely and efficiently, with minimal complications.

During surgery, the donor organ is removed from the donor and transplanted into the recipient. The recipient's blood vessels are connected to the donor organ's blood vessels, and the organ is then placed in its new location. The surgery typically takes several hours to complete.

Postoperative Management

The postoperative management of abdominal organ transplant patients is complex and requires close monitoring and care. This management includes:

Monitoring the patient's vital signs and organ function
Providing immunosuppressive therapy to prevent rejection of the donor organ
Managing pain and discomfort
Preventing and treating infections
Providing nutritional support
Emotional and psychological support

Complications

Abdominal organ transplantation is a major surgery, and there are potential complications that can occur. These complications include:

Rejection of the donor organ
Infection
Bleeding
Thrombosis
Death

ICU care is essential for the successful outcomes of abdominal organ transplant patients. By providing comprehensive care throughout the entire process, from preoperative assessment to postoperative management, the ICU team can help patients achieve the best possible outcomes.

References

Cecka JM, Kasiske BL. Critical care of the transplant recipient. In: Parrillo JE, Dellinger RP, eds. Critical Care Medicine: Principles and Practice. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 188.
Dagher PC, Bishop SP, Desai NM. Preoperative evaluation of the transplant candidate. In: Matas AJ, Sutherland DER, Tilney NL, eds. Atlas of Organ Transplantation. 4th ed. Philadelphia, PA: Elsevier; 2017:chap 6.

ICU Care of Abdominal Organ Transplant Patients (Pittsburgh Critical Care Medicine)

by Amy Daws

4.1 out of 5