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Intestinal transplantation in pediatric patients: a nursing challenge: Part One: Evaluation for intestinal
D Andersen1, A DeVoll-Zabrocki, C Brown
1University of Nebraska Medical Center, Omaha, USA.
Insights
Intestinal transplantation is a life-saving option for children with intestinal failure. This series guides nurses through patient evaluation, listing, and organ wait times for intestinal transplants.
Area of Science:
- Medicine
- Surgery
- Pediatrics
Background:
- Intestinal transplantation offers a vital solution for pediatric patients experiencing intestinal failure and severe complications from parenteral nutrition (PN).
- The increasing adoption of intestinal transplantation by medical centers presents unique challenges for nursing staff.
- This series aims to equip nursing professionals with essential knowledge regarding intestinal transplantation.
Purpose of the Study:
- To provide comprehensive information for nursing professionals on intestinal transplantation.
- Part 1 focuses on the indications, patient evaluation, listing process, and organ wait times for intestinal transplantation.
- To outline the approach to intestinal transplantation at the University of Nebraska Medical Center.
Main Methods:
- Review of current practices and protocols at a leading transplant center.
- Discussion of clinical guidelines for patient selection and management.
- Information synthesis for nursing education.
Main Results:
- Established criteria for patient eligibility for intestinal transplantation.
- Detailed the multi-step evaluation process for potential recipients.
- Explained the organ allocation and waiting list dynamics for intestinal donors.
Conclusions:
- Intestinal transplantation is a complex but crucial intervention for pediatric intestinal failure.
- Nurses play a critical role throughout the intestinal transplant journey, from evaluation to long-term care.
- Standardized approaches, like the one at UNMC, are vital for successful intestinal transplant programs.
Abstract:
Intestinal transplantation offers hope to children with intestinal failure and life-threatening complications of parenteral nutrition (PN). As more transplant centers are adding intestinal transplantation to their existing programs, new challenges are presented to nursing professionals. This three-part series will provide information for nursing professionals regarding evaluation for intestinal transplantation, donor preparation, the surgical procedure, immediate postoperative care of the transplant recipient, complications of intestinal transplantation, and long-term care of the intestinal transplant patient. Part 1 will discuss the indications for intestinal transplantation, the evaluation of patients for intestinal transplantation, the process of listing patients for intestinal transplantation, and the waiting time for donor organs for intestinal transplantation. The information presented represents the approach taken at University of Nebraska Medical Center.