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Anesthesia for Composite Tissue Allografts

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Anesthesia and Perioperative Care for Organ Transplantation

Abstract

Composite tissue allografts (CTA) transplants, unlike other solid tissue transplants involve multiple tissues including skin, muscle, tendons, blood vessels, nerves, lymph nodes, bone, and bone marrow. Each of these tissues has distinct immunogenicity posing more complex considerations regarding immunologic and graft survival. CTA have been performed for upper extremities, vascularized joints, craniofacial tissue, larynx, trachea, and abdominal wall. The purpose of this chapter is to discuss anesthetic management for these highly complex procedures.

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References

  1. Lang RS, Gorantla VS, Esper SE, Montoya M, Losee J, Hilmi IA, Sakai T, Lee WPA, Shores J, Brandacher G, Planinsic RM. Anesthetic management and protocol development in hand transplantation—the Pittsburgh experience. Anesth Analg. 2012;115:678–88.

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Correspondence to Raymond M. Planinsic M.D. .

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Planinsic, R.M. (2017). Anesthesia for Composite Tissue Allografts. 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_46

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  • DOI: https://doi.org/10.1007/978-1-4939-6377-5_46

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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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