Pediatric Liver Transplantation
Anesthetic management of pediatric liver transplants is in many ways very different from taking care of adult liver transplant recipients. Different indications combined with the distinct physiology of infants and children result in a pathophysiology that requires specific skill sets and techniques. With meticulous attention to details results in pediatric liver transplantation are excellent and very gratifying. This chapter will review basic indications and management for infants, toddlers, pre-teenagers and teenagers undergoing cadaveric or living donor liver transplants.
History of Pediatric Liver Transplantation
The history of pediatric liver transplantation started with the first unsuccessful liver transplantation in 1963 by Thomas Starzl in Denver . In the late 1960’s eight pediatric patients survived the initial transplantation, only to face difficulties with immunosupression. The introduction of cyclosporine A in 1978 made acceptable long-term survival rates...
KeywordsBiliary atresia Metabolic liver disease Fulminant hepatic failure Hepatic encephalopathy Infant Children
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