Transplant Triumph: Caring for the Transplant Recipients in the ICU-Transplant Triumph Caring for Transplant Recipients in the ICU

Video Transcription

Video Summary

In "Transplant Triumph: Caring for Transplant Recipients in the ICU," experts Bashir Hamade and Robert Page share insights on managing liver and heart transplant patients post-surgery. Hamade, a surgical ICU intensivist, discusses orthotopic liver transplantation (OLT) and the importance of understanding patients' clinical complications, including respiratory insufficiency, atrial fibrillation, and renal disorders, in addition to managing analgesia, bleeding, and coagulopathy. Post-operative coagulopathy is particularly significant as an indicator of graft function, and thromboelastography (TEG) emerges as a crucial tool for assessing hemostatic function and guiding blood product transfusion. He further highlights common OLT-induced infections, necessitating antimicrobial prophylaxis, and various immunosuppressants including calcineurin inhibitors and their side effects.<br /><br />Page, a clinical pharmacy specialist, discusses the intricate pharmacokinetic challenges in heart transplant care, emphasizing individualized hemodynamic management. He points out the scarcity of large-scale trials and notes the influence of institutional-specific practices on transplant outcomes. Challenges such as right heart failure, vasoplegia, and the need for prompt infection control highlight the critical role of personalized medicine in this context. He elaborates on the pharmacological considerations for managing these patients, including drug interactions, side effects, and the tailored dosing of immunosuppressants like Tacrolimus and Cyclosporine. By illustrating nuanced pathways and strategic drug management, the webcast advocates a collaborative, multidisciplinary approach to optimizing transplant patient care in ICU settings. The recording of this webcast will be available online for further reference.

Keywords

transplant recipients

ICU care

liver transplantation

heart transplantation

post-operative complications

thromboelastography

immunosuppressants

personalized medicine

pharmacokinetics

multidisciplinary approach

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