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2025 Multiprofessional Critical Care Review: Adult ...
6: Solid Organ Transplant Complications
6: Solid Organ Transplant Complications
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Video Transcription
Video Summary
This module, presented by Luke Kaplan, covers complications in solid organ transplants, notably renal and hepatic. Key topics discussed include technical complications such as anastomotic issues and thrombosis, common post-transplant complications like infections, graft rejection, and endocrinological issues such as induced diabetes. Technical complications are more frequent in liver transplants due to their complexity compared to kidney transplants. Kaplan highlights the importance of immunosuppressive regimens in preventing rejection and their potential side effects, such as de novo malignancies and neurological issues like posterior reversible encephalopathy syndrome (PRES).<br /><br />Infections, both from the donor and the recipient, pose significant risks, with different organisms causing early and late infections. The module explores the challenges of post-transplant lymphoproliferative disorders, emphasizing the need for ongoing surveillance. Innovations in organ transport, including drone delivery and normothermic perfusion techniques, are improving outcomes. Machine learning and augmented intelligence offer potential advances in managing transplant patients. Kaplan discusses the benefits of aspirin in reducing T-cell mediated rejection in liver transplants. The module underlines the importance of tailored surveillance and intervention strategies based on the type and timing of complications.
Keywords
solid organ transplants
renal complications
hepatic complications
anastomotic issues
graft rejection
immunosuppressive regimens
post-transplant infections
organ transport innovations
machine learning in transplants
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