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Multivisceral Transplantation: Intraoperative Vascular Access Strategy

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Anesthesia and Perioperative Care for Organ Transplantation

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Abstract

Multivisceral transplantation is a complex operation that has been used to replace nonfunctioning intestine and liver with graft organs. The ability to provide hemodynamic monitoring, to rapidly replace blood and other fluids, and to administer medications requires robust vascular access. Multiple previous procedures, prolonged parenteral nutrition, and vascular thrombosis limit accessible sites. Preoperative planning and imaging may reduce vascular injuries and limit delays during preoperative graft ischemia.

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Authors and Affiliations

  1. Department of Anesthesiology, University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA, 15213, USA

    Charles D. Boucek M.D.

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  1. Charles D. Boucek M.D.
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Correspondence to Charles D. Boucek M.D. .

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Editors and Affiliations

  1. Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Kathirvel Subramaniam

  2. Department of Anesthesiology The Clinical and Translational Science Institute The McGowan Institute for Regenerative Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

    Tetsuro Sakai

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Boucek, C.D. (2017). Multivisceral Transplantation: Intraoperative Vascular Access Strategy. In: Subramaniam, K., Sakai, T. (eds) Anesthesia and Perioperative Care for Organ Transplantation. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-6377-5_42

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  • DOI: https://doi.org/10.1007/978-1-4939-6377-5_42

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-6375-1

  • Online ISBN: 978-1-4939-6377-5

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