By Kathirvel Subramaniam, Tetsuro Sakai
This complete textbook, masking all points of the perioperative administration of sufferers present process organ transplantation, serves because the common reference for clinicians who deal with transplant sufferers on a daily foundation in addition to those that come across organ transplantation basically sometimes of their medical perform. Anesthesia and Perioperative take care of Organ Transplantation covers transplantation of the center, lung, liver, pancreas, and kidney, in addition to multivisceral and composite tissue graft transplantations. for every type of transplantation, the entire spectrum of perioperative issues is addressed: preoperative guidance, intraoperative anesthesia administration, surgical recommendations, and postoperative care. each one bankruptcy comprises evidence-based concepts, correct society instructions, administration algorithms, and institutional protocols as tables, move diagrams, and figures. images demonstrating surgical ideas, anesthesia methods, and perfusion administration are integrated. Anesthesia and Perioperative take care of Organ Transplantation is for anesthesiologists and significant care physicians; transplantation surgeons; nurse anesthetists; ICU nurses; and trainees.
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Additional resources for Anesthesia and Perioperative Care for Organ Transplantation
Antibiotic Prophylaxis Several studies have clearly shown that antimicrobial prophylaxis significantly reduces the posttransplant infection rates for both living donor and cadaveric renal transplant . The regimen used for prophylaxis, however, has not been well defined. Single drug regimen is as effective as multidrug regimens, and cefazolin is as effective as ceftriaxone in preventing SSIs. 2). For patients with β-lactam allergy, an agent effective against Gram positive cocci (clindamycin or vancomycin) given in combination with an agent effective against Gram negative rods (aztreonam or fluoroquinolone) are reasonable alternatives.
Familiarity with the epidemiology, risk factors, and time line of posttransplant infections, and surgical techniques and complications is necessary to design appropriate antimicrobial prophylaxis. Preventing infections is the most important method for improving both short-term and long-term morbidity and mortality of organ transplant recipients. References 1. Fishman JA. Infection in solid-organ transplant recipients. N Engl J Med. 2007;357:2601–14. 2. Owens CD, Stoessel K. Surgical site infections: epidemiology, microbiology and prevention.
2001;7:22–6. 48. Pappas PG, Silveira FP. Candida in solid organ transplant recipients. Am J Transplant. 2009;9 Suppl 4:S173–9. 49. Pappas PG, Alexander BD, Andes DR, et al. Invasive fungal infections among organ transplant recipients: results of the Transplant-Associated Infection Surveillance Network (TRANSNET). Clin Infect Dis. 2010;50:1101–11. 50. Neofytos D, Fishman JA, Horn D, et al. Epidemiology and outcome of invasive fungal infections in solid organ transplant recipients. Transpl Infect Dis.