{"title":"与器官移植有关的治疗问题:肝脏、肾脏和心脏","authors":"Andy Chu, Carlotta Bianchi","doi":"10.1016/j.mpaic.2024.05.001","DOIUrl":null,"url":null,"abstract":"<div><p>Solid organ transplant is increasing globally. According to Kidney Research UK, around 5000 people in the UK are on the waiting list for a kidney and this is only increasing. Improved immunosuppression therapy and general management of transplanted patients mean their survival has improved. It will get more common for these patients to require input from a non-transplant centres. There are nuances of transplant patients which non-transplant anaesthetists and intensivists may not be aware of. A good understanding of some of these complexities are crucial to optimizing perioperative care and outcome.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 6","pages":"Pages 424-431"},"PeriodicalIF":0.2000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Therapeutic problems associated with organ transplantation: liver, kidney and heart\",\"authors\":\"Andy Chu, Carlotta Bianchi\",\"doi\":\"10.1016/j.mpaic.2024.05.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Solid organ transplant is increasing globally. According to Kidney Research UK, around 5000 people in the UK are on the waiting list for a kidney and this is only increasing. Improved immunosuppression therapy and general management of transplanted patients mean their survival has improved. It will get more common for these patients to require input from a non-transplant centres. There are nuances of transplant patients which non-transplant anaesthetists and intensivists may not be aware of. A good understanding of some of these complexities are crucial to optimizing perioperative care and outcome.</p></div>\",\"PeriodicalId\":45856,\"journal\":{\"name\":\"Anaesthesia and Intensive Care Medicine\",\"volume\":\"25 6\",\"pages\":\"Pages 424-431\"},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Anaesthesia and Intensive Care Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1472029924000821\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924000821","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
在全球范围内,实体器官移植正在不断增加。据英国肾脏研究中心(Kidney Research UK)称,英国约有 5000 人在等待肾脏移植,而且这一数字还在不断增加。免疫抑制疗法和移植患者一般管理的改进意味着他们的存活率有所提高。这些病人需要非移植中心的帮助将越来越普遍。非移植麻醉师和重症监护医师可能不了解移植患者的一些细微差别。充分了解其中的一些复杂性对于优化围手术期护理和治疗效果至关重要。
Therapeutic problems associated with organ transplantation: liver, kidney and heart
Solid organ transplant is increasing globally. According to Kidney Research UK, around 5000 people in the UK are on the waiting list for a kidney and this is only increasing. Improved immunosuppression therapy and general management of transplanted patients mean their survival has improved. It will get more common for these patients to require input from a non-transplant centres. There are nuances of transplant patients which non-transplant anaesthetists and intensivists may not be aware of. A good understanding of some of these complexities are crucial to optimizing perioperative care and outcome.
期刊介绍:
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.