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Donation after Circulatory Death (DCD) Liver Transplantation pp 261–266Cite as

Anesthesia for DCD Liver Transplantation

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Abstract

Since the advent of liver transplantation, optimal anesthesia care is necessary for positive perioperative outcomes. In the context of liver transplantation using grafts from donation after circulatory death (DCD) donors, the anesthesiologist must understand the pathophysiology of these grafts and their predisposition to an increased incidence of intraoperative events such as post-reperfusion syndrome, which can affect both short- and long-term outcomes. Although there is minimal research in this area, it generally supports that DCD grafts result in a higher incidence of intraoperative instability. Anesthesiologists should be aware of these implications and prepare accordingly for these cases, with considerations for advanced monitoring and alternative therapies for vasoplegia and cardiopulmonary collapse.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Florida, Jacksonville, FL, USA

    Ryan M. Chadha & Stephen Aniskevich

Authors
  1. Ryan M. Chadha
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  2. Stephen Aniskevich
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Correspondence to Ryan M. Chadha .

Editor information

Editors and Affiliations

  1. Department of Transplant, Mayo Clinic, Jacksonville, FL, USA

    Kristopher P. Croome

  2. Queen Elizabeth Hospital Birmingham, Birmingham, UK

    Paolo Muiesan

  3. Department of Transplant, Mayo Clinic, Jacksonville, FL, USA

    C. Burcin Taner

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Chadha, R.M., Aniskevich, S. (2020). Anesthesia for DCD Liver Transplantation. In: Croome, K., Muiesan, P., Taner, C. (eds) Donation after Circulatory Death (DCD) Liver Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-030-46470-7_18

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  • DOI: https://doi.org/10.1007/978-3-030-46470-7_18

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  • Print ISBN: 978-3-030-46469-1

  • Online ISBN: 978-3-030-46470-7

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