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Living related small bowel transplantation: Anaesthesia and peri-operative care

Published online by Cambridge University Press:  16 August 2006

M. C. Bellamy ,
S. M. Enright ,
Y. Young ,
S. Pollard ,
P. Lodge  and
H. A. O'Beirne
M. C. Bellamy
Affiliation:
Department of Anaesthesia and Intensive Therapy, St James's University Hospital, Leeds General Infirmary, Leeds, UK<
S. M. Enright
Affiliation:
Department of Anaesthesia and Intensive Therapy, St James's University Hospital, Leeds General Infirmary, Leeds, UK<
Y. Young
Affiliation:
Department of Anaesthesia and Intensive Therapy, St James's University Hospital, Leeds General Infirmary, Leeds, UK<
S. Pollard
Affiliation:
Department of Anaesthesia and Intensive Therapy, St James's University Hospital, Leeds General Infirmary, Leeds, UK<
P. Lodge
Affiliation:
Department of Anaesthesia and Intensive Therapy, St James's University Hospital, Leeds General Infirmary, Leeds, UK<
H. A. O'Beirne
Affiliation:
Department of Anaesthesia, Leeds General Infirmary, Leeds, UK
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Abstract

The peri-operative management of the only surviving case, to date, of living-related small bowel transplantation is described. The anaesthetic technique was chosen to optimize hepato-splanchnic blood flow. Peri-operative splanchnic blood flow was measured and alterations in flow with changes in inotropic agents and volume loading monitored. There appears to be a role for the use of dopexamine and aggressive volume loading.

Keywords

transplantationsmall bowel living relatedanaesthesiaperi-operative care
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 14 , Issue 4 , July 1997 , pp. 450 - 454
Copyright
1997 European Society of Anaesthesiology

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