Critical care management of the liver transplant recipient

Dianne Lapointe Rudow, Michael J. Goldstein

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations

Abstract

Liver transplantation is an acceptable treatment modality for complications of end-stage liver disease from chronic and acute liver failure. In the United States, 16 377 people are currently awaiting liver transplant but only 6492 transplantations were performed in 2007. All options for liver transplantation including Model for End stage Liver Disease allocated, expanded criteria deceased donors, and live donor liver transplantation should be discussed with potential recipients on the waitlist to create an early access plan for safe and expeditious transplantation. After transplantation, careful management to avoid complications and intervene early is necessary. Common postoperative complications include graft dysfunction, vascular thrombosis, biliary tract complications, infection, rejection, neurologic injury, electrolyte imbalances, and drug interactions. A multidisciplinary approach to care including the critical care nurse is necessary for successful long-term outcomes.

Original languageEnglish (US)
Pages (from-to)232-243
Number of pages12
JournalCritical Care Nursing Quarterly
Volume31
Issue number3
DOIs
StatePublished - Jul 1 2008

Keywords

  • Infections
  • Liver transplant
  • Postoperative
  • Rejection

ASJC Scopus subject areas

  • Critical Care

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