Updated ADQI Guidelines for AKI in Cirrhosis Assessment and Management of HRS/AKI in the ICU-Peritransplant and Posttransplant ICU Management

Video Transcription

Video Summary

The talk focused on the critical care and management strategies necessary for patients undergoing liver transplant, emphasizing pre-, peri-, and post-operative phases. Pre-transplant, the speaker highlighted the need to stabilize multi-organ dysfunctions often present in acute on chronic liver failure, which is crucial for successful transplantation. The discussion transitioned to increasing the organ supply, notably through the use of hepatitis C-positive donors and donation after cardiac death (DCD) organs, supported by advanced machine perfusion techniques. Post-transplant care involves meticulous monitoring of organ systems, anticipating potential issues such as AKI or cardiovascular problems due to prior conditions. Surgical complications like hepatic artery thrombosis and biliary leaks were addressed, alongside the management of immunosuppressive drug effects. Overall, the session underscored the complexity of liver transplant care and the innovations enhancing transplant suitability and post-operative success.

Keywords

liver transplant

multi-organ dysfunction

hepatitis C-positive donors

machine perfusion

post-operative care

immunosuppressive management

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