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Intestinal transplantation in pediatric patients: a nursing challenge. Part 2: Intestinal transplantation and the
D Andersen1, A DeVoll-Zabrocki, C Brown
1Nebraska Health Systems/University of Nebraska Medical Center, Organ Transplantation, 983285 Nebraska Medical Center, Omaha, NE 68198-3285, USA. dandersen@surgery.unmc.edu
Insights
Intestinal transplantation is a vital treatment for pediatric intestinal failure. This guide covers donor selection, surgical procedures, and post-transplant care for nursing professionals, addressing challenges in this specialized field.
Area of Science:
- Medicine
- Surgery
- Pediatrics
Background:
- Intestinal failure in children can lead to severe complications from parenteral nutrition.
- Intestinal transplantation presents a viable treatment option for these complex cases.
- Nursing professionals face unique challenges with the growing number of intestinal transplant programs.
Purpose of the Study:
- To provide essential information for nursing professionals on intestinal transplantation.
- To detail the process from donor preparation to long-term recipient care.
- To highlight key aspects including surgical procedures, post-operative management, and potential complications.
Main Methods:
- This article focuses on donor selection and preparation.
- It details the surgical procedure for intestinal transplantation.
- It covers immediate postoperative care, immunosuppression, rejection, infections, and nutritional support.
Main Results:
- The article outlines a comprehensive approach to intestinal transplantation.
- It addresses critical elements such as donor management and recipient care.
- It emphasizes the multidisciplinary nature of managing transplant patients.
Conclusions:
- Intestinal transplantation requires specialized knowledge and care for nursing professionals.
- Effective management involves careful donor selection, surgical technique, and vigilant post-operative monitoring.
- This guide offers a framework for understanding and managing intestinal transplant recipients.
Abstract:
Intestinal transplantation offers new hope to children with intestinal failure and life-threatening complications of parenteral nutrition. 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, and long-term care of the intestinal transplant recipient. This article focuses on donor selection and preparation, the surgical procedure for intestinal transplantation, the immediate postoperative course, immunosuppression, rejection, infections, fluid and electrolyte support, and nutrition. The information presented represents the approach taken at University of Nebraska Medical Center/Nebraska Health Systems.