ICU Care of Abdominal Organ Transplant Patients

Pre- and post-operative care of transplant patients is an aspect of Critical Care Medicine in which most ICU physicians and nurses have received little or no formal training and are left to cope with this complex population with only incomplete 'on-the-job experience' as a guide. In response to this clinical knowledge gap, ICU Care of Abdominal Organ Transplant Patients provides a concise bedside resource fo intensivists, surgeons, and nurses caring for abdominal organ transplant patients before and after surgery. In a concise, practical style, the authors offer concrete solutions to questions and situations confronted by ICU clinicians. Chapters address general principles of immunosuppression, infectious complications, management, and nursing considerations, plus indications, approach to anesthesia, transplant procedure, and post-operative care for liver, kidney, pancreas, islet cell, and small bowel and multivisceral transplantation.SECTION 1: ICU MANAGEMENT OF PATIENTS WITH DECOMPENSATED LIVER DISEASE ; CHAPTER 1. SPONTANEOUS BACTERIAL PERITONITIS ; CHAPTER 2. HEPATIC ENCEPHALOPATHY ; CHAPTER 3. UPPER GASTROINTESTINAL BLEEDING ; CHAPTER 4. REFRACTORY ASCITIS AND HEPATIC HYDROTHORAX ; CHAPTER 5. ACUTE KIDNEY INJURY INCLUDING HEPATORENAL SYNDROME ; CHAPTER 6. RESPIRATORY FAILURE IN PATIENTS WITH END STAGE LIVER DISEASE ; CHAPTER 7. MALNUTRITION IN CHRONIC LIVER DISEASE ; SECTION 2: TRANSPLANTATION ; CHAPTER 8. GENERAL PRINCIPLES OF IMMUNESUPPRESSION ; CHAPTER 9. INFECTIOUS COMPLICATIONS AFTER ABDOMINAL SOLID ORGAN TRANSPLANT ; CHAPTER 10. GENERAL MANAGEMENT OF TRANSPLANT PATIENTS IN THE ICU ; CHAPTER 11. NURSING CONSIDERATIONS ; CHAPTER 12. INDICATIONS FOR LIVER TRANSPLANTATION ; CHAPTER 13. AN APPROACH TO ANESTHESIA FOR LIVER TRANSPLANTATION ; CHAPTER 14. LIVER TRANSPLANT PROCEDURE ; CHAPTER 15.GRAFT DYSFUNCTION AND TECHNICAL COMPLICATIONS AFTER LIVER TRANSPLANT ; CHAPTER 16. KIDNEY TRANSPLANTATION ; CHAPTER 17: ANESTHESIA CARE FOR KIDNEY TRANSPLANT RECIPIENTS ; CHAPTER 18. KIDNEY TRANSPLANTATION: SURGICAL TECHNIQUES ; CHAPTER 19: PANCREAS TRANSPLANTATION ; CHAPTER 20: ANESTHETIC MANAGEMENT OF PANCREATIC TRANSPLANT RECIPIENTS. ; CHAPTER 21: SURGICAL TECHNIQUES OF PANCREAS TRANSPLANTATION ; CHAPTER 22: ISLET CELL TRANSPLANTATION ; CHAPTER 23: SMALL BOWEL AND MULTIVISCERAL TRANSPLANTATION