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6.5 - Management of the Critical Care Patient Following Heart Transplant

from Section 6 - Perioperative Care

Published online by Cambridge University Press:  27 July 2023

Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Heart transplantation is a successful treatment for selected patients with severe heart failure.

  2. 2. Left ventricular assist devices are increasingly commonplace as a bridge to transplant.

  3. 3. After heart transplantation, invasive monitoring and careful assessment of the cardiac index are important, noting the differences in donor heart physiology.

  4. 4. Right ventricular dysfunction should be diagnosed and managed promptly.

  5. 5. Immunosuppression is started perioperatively, and these drugs require expert management.

Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
, pp. 638 - 641
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

International Society for Heart and Lung Transplantation. Professional practice guidelines and consensus documents. www.ishlt.orgGoogle Scholar

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