Anaesthesia for organ transplantation

摘要: Advances in surgical, anaesthetic, and immunosuppressive techniques as well increased public awareness have made organ transplantation a accepted therapeutic modality. Transplantation has become the treatment of choice for selected patients with end-stage cardiac, liver, or kidney failure. The number potential recipients steadily. For example, at University Hospital more than ten times over past years. During first eleven months 1986, 90 kidneys, 43 hearts, 33 livers, two heart-lungs were transplamed. Judging by length current waiting lists it is likely that other institutions will soon enjoy similar experience. Anaesthetists may involved process one three situations: (1) donor management, (2) anaesthesia transplantation, (3) transplant recipient hay. ing unrelated surgery. Donor management Dotior organs be divided into perfusable (kidney, heart, lung, pancreas) nonperfusable tissues (eyes, skin, bone, heart valves, dura mater). peffusable donors these need to ventilation blood flow maintained until moment harvesting. no direct role removal non-perfusable tissues.