Anesthesia Aspects of Multivisceral Transplantation: A Case Series Study.

IF 0.3 Q4 TRANSPLANTATION

International Journal of Organ Transplantation Medicine Pub Date : 2022-01-01

M B Khosravi, V Naderi-Boldaji, F Khalili, M A Sahmeddini, M H Eghbal, P Vatankhah, H Nikoupour, A Shamsaeefar, S Ghazanfar Tehran

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引用次数: 0

Abstract

Background: Multi-visceral transplantation (MvTx) usually refers to the transplantation of more than three intra-abdominal organs. A successful MvTx requires strong multidisciplinary teamwork of transplant surgeons, anesthesiologists, and intensivists.

Case presentation: We present five cases of MvTx with a history of short bowel syndrome admitted to the Abu-Ali Sina Hospital, Shiraz, Iran from May 2019 to January 2020 and describe anesthetic considerations in MvTx. Subjects were identified (4F/1M) with a mean age of 43 years old (range 35-51). The most frequent cause of intestinal failure was portal vein thrombosis, followed by bowel gangrene and short bowel syndrome. The mean ±SD duration of the operation was 360±60 min. The bleeding volume was approximately 2600±1474 cc, and 4±1 bags of packed red blood cells were transfused. Sepsis was the main cause of death in our series.

Conclusion: Careful preoperative planning, vigilant intraoperative anesthetic management, and prevention of postoperative infection are imperative to achieve the best outcomes.

本刊更多论文

多脏器移植的麻醉方面:一个案例系列研究。

背景:多脏器移植(MvTx)通常是指腹腔内三个以上脏器的移植。一个成功的MvTx需要强大的多学科团队合作，包括移植外科医生、麻醉师和重症监护医师。病例介绍:我们报告了2019年5月至2020年1月在伊朗设拉子的Abu-Ali Sina医院收治的5例有短肠综合征病史的MvTx病例，并描述了MvTx的麻醉注意事项。受试者被确定(4F/1M)，平均年龄43岁(范围35-51岁)。肠衰竭最常见的原因是门静脉血栓形成，其次是肠坏疽和短肠综合征。手术时间平均±SD为360±60 min，出血量约2600±1474 cc，输注红血球4±1袋。脓毒症是我们研究的主要死亡原因。结论:严密的术前计划，术中麻醉管理，预防术后感染是达到最佳效果的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Organ Transplantation Medicine TRANSPLANTATION-

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The International Journal of Organ Transplantation Medicine (IJOTM) is a quarterly peer-reviewed English-language journal that publishes high-quality basic sciences and clinical research on transplantation. The scope of the journal includes organ and tissue donation, procurement and preservation; surgical techniques, innovations, and novelties in all aspects of transplantation; genomics and immunobiology; immunosuppressive drugs and pharmacology relevant to transplantation; graft survival and prevention of graft dysfunction and failure; clinical trials and population analyses in the field of transplantation; transplant complications; cell and tissue transplantation; infection; post-transplant malignancies; sociological and ethical issues and xenotransplantation.