Acute Transplant Issues
Reviewed and revised 5/5/12
LUNG TRANSPLANT
- right ventricular failure
- hyperacute rejection
- bilateral infiltrates: hyperacute rejection, LVF, aspiration, fluid overload
- immunosuppression: steroids, calcineurin antagonists, anti-proliferatives
- anastamosis breakdown: air leak
- PAC care
- iNO weaning
- extubate early
- bleeding
HEPATIC TRANSPLANT
- transplant characteristics: alive/deceased donor, WIT, anhepatic phase
- bleeding
- liver function: LFT’s, coagulopathy, glucose
- PAC care: often inserted without Q monitoring
- analgesia
- U/S: anastomoses (arterial, portal and venous)
- early extubation
- immunosuppression
CARDIAC TRANSPLANT
- denervated heart
- cardiac dysfunction
- bleeding
- hyperacute rejection: fluid retention, fever, cardiac failure
- premature IHD
- lung transplant issues if combined procedure
- poor cough (phrenic nerve dysfunction)
- co-morbidities
- immunosuppression
- preservation of RIJV
RENAL TRANSPLANT
- bleeding
- infection
- rejection: hypertension, proteinuria, worsening renal function
- pain
Critical Care
Compendium
Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the Clinician Educator Incubator programme, and a CICM First Part Examiner.
He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.
His one great achievement is being the father of three amazing children.
On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.
| INTENSIVE | RAGE | Resuscitology | SMACC