Exploring Anesthesiology Management of Living Donor Liver Transplantation: Survey From the Society for the Advancement of Transplant Anesthesia and the Korean Society for Transplantation Anesthesiologists
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| Natura: | Artículo Open Access |
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Wiley
2024
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| _version_ | 1867004616227422208 |
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| author | Cara E. Crouch Justin Sangwook Ko Adrian Hendrickse Sathish S. Kumar Michael Little Min Suk Chae Sun Young Park Tetsuro Sakai |
| author_facet | Cara E. Crouch Justin Sangwook Ko Adrian Hendrickse Sathish S. Kumar Michael Little Min Suk Chae Sun Young Park Tetsuro Sakai Cara E. Crouch Justin Sangwook Ko Adrian Hendrickse Sathish S. Kumar Michael Little Min Suk Chae Sun Young Park Tetsuro Sakai |
| collection | Wiley Open Access |
| contents | Exploring Anesthesiology Management of Living Donor Liver Transplantation: Survey From the Society for the Advancement of Transplant Anesthesia and the Korean Society for Transplantation Anesthesiologists Cara E. Crouch Justin Sangwook Ko Adrian Hendrickse Sathish S. Kumar Michael Little Min Suk Chae Sun Young Park Tetsuro Sakai Clinical Transplantation ABSTRACTIntroductionWhile living donor liver transplantation (LDLT) serves as the predominant method of adult liver transplant (LT) in the Republic of Korea (ROK), it represents a minority of LT in the United States (US). A survey was conducted to gain insight into these nations’ anesthetic management.MethodsAn electronic questionnaire was distributed to directors of LT anesthesiology overseeing LDLT programs in both countries between May 2021 and October 2021.ResultsThe response rate was 93.0% (100% [37/37] in the US and 80% [16/20] in the ROK). Both countries mainly adhered to deceased donor LT recipient management practices, including the frequency of routine pulmonary artery catheter use, transesophageal echocardiography, and point‐of‐care coagulation monitoring. Differences were observed in early extubation of recipients (US vs. ROK: 39.7% vs. 14.7% of all cases), participation in donor selection meetings (88.9% [32/36] vs. 6.3% [1/16], p < 0.0001), application of the Enhanced Recovery After Surgery donor protocol (69.4% [25/36] vs. 12.5% [2/16], p < 0.0001), and cell saver usage for donors (94.4% [34/36] vs. 18.8% [3/16], p < 0.0001). More ROK programs implemented simultaneous donor/recipient anesthesia supervision by a single anesthesiologist.ConclusionsSeveral important differences were identified between the US and the ROK in adult LDLT anesthetic management. 10.1111/ctr.15428 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/ctr.15428 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ctr_15428 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Exploring Anesthesiology Management of Living Donor Liver Transplantation: Survey From the Society for the Advancement of Transplant Anesthesia and the Korean Society for Transplantation Anesthesiologists Cara E. Crouch Justin Sangwook Ko Adrian Hendrickse Sathish S. Kumar Michael Little Min Suk Chae Sun Young Park Tetsuro Sakai Clinical Transplantation Exploring Anesthesiology Management of Living Donor Liver Transplantation: Survey From the Society for the Advancement of Transplant Anesthesia and the Korean Society for Transplantation Anesthesiologists Cara E. Crouch Justin Sangwook Ko Adrian Hendrickse Sathish S. Kumar Michael Little Min Suk Chae Sun Young Park Tetsuro Sakai Clinical Transplantation ABSTRACTIntroductionWhile living donor liver transplantation (LDLT) serves as the predominant method of adult liver transplant (LT) in the Republic of Korea (ROK), it represents a minority of LT in the United States (US). A survey was conducted to gain insight into these nations’ anesthetic management.MethodsAn electronic questionnaire was distributed to directors of LT anesthesiology overseeing LDLT programs in both countries between May 2021 and October 2021.ResultsThe response rate was 93.0% (100% [37/37] in the US and 80% [16/20] in the ROK). Both countries mainly adhered to deceased donor LT recipient management practices, including the frequency of routine pulmonary artery catheter use, transesophageal echocardiography, and point‐of‐care coagulation monitoring. Differences were observed in early extubation of recipients (US vs. ROK: 39.7% vs. 14.7% of all cases), participation in donor selection meetings (88.9% [32/36] vs. 6.3% [1/16], p < 0.0001), application of the Enhanced Recovery After Surgery donor protocol (69.4% [25/36] vs. 12.5% [2/16], p < 0.0001), and cell saver usage for donors (94.4% [34/36] vs. 18.8% [3/16], p < 0.0001). More ROK programs implemented simultaneous donor/recipient anesthesia supervision by a single anesthesiologist.ConclusionsSeveral important differences were identified between the US and the ROK in adult LDLT anesthetic management. 10.1111/ctr.15428 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Exploring Anesthesiology Management of Living Donor Liver Transplantation: Survey From the Society for the Advancement of Transplant Anesthesia and the Korean Society for Transplantation Anesthesiologists |
| topic | Clinical Transplantation |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ctr.15428 |