Perioperative Coagulation Management in Liver Transplant Recipients.

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Abstract

We review contemporary coagulation management for patients undergoing liver transplantation. A better understanding of the complex physiologic changes that occur in patients with end-stage liver disease has resulted in significant advances in anesthetic and coagulation management. A group of internationally recognized experts have critically evaluated current approaches for coagulopathy detection and management. Strategies for blood component and factor replacement have been evaluated and recommended therapies proposed. Pharmacologic treatment and prevention of coagulopathy, management of patients receiving antiplatelet medications, and the role of transesophageal echocardiography for early detection and management of thromboses are presented.

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Journal

Journal ID (iso-abbrev): Transplantation

Title: Transplantation

Publisher: Ovid Technologies (Wolters Kluwer Health)

ISSN (Electronic): 1534-6080

ISSN (Print): 0041-1337

Publication date (Electronic): April 2018

Volume: 102

Issue: 4

Affiliations

[1 ] Department of Anesthesia and Perioperative Medicine, Penn State University, Penn State College of Medicine, Hershey, PA.

[2 ] Department of Anesthesiology and Intensive Care, University Hospital Essen, Essen, Germany.

[3 ] Department of Anesthesia and Perioperative Medicine, Mayo Clinic, Rochester, MN.

[4 ] Department of Anesthesiology, Cleveland Clinic, Jacksonville, FL.

[5 ] Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami, Miami, FL.

[6 ] Department of Anesthesiology, Cairo University, Cairo, Egypt.

[7 ] Department of Anesthesiology Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY.

[8 ] Department of Anesthesiology, University of Texas, Houston, TX.

[9 ] Department of Anesthesiology, Mayo Clinic, Phoenix, AZ.

[10 ] Department of General, Visceral and Transplant Surgery, University Hospital Essen, Essen, Germany.

[11 ] Department of Anesthesiology, UCLA Medical Center, Los-Angeles, CA.

[12 ] Department of Anesthesiology, Columbia University, New York, NY.

[13 ] Department of Anesthesiology, University of Tennessee, Memphis, TN.

Article

DOI: 10.1097/TP.0000000000002092

PubMed ID: 29337842

SO-VID: c51b8ec5-cdc1-4761-b701-de814225f7dc

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