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Current controversies in pediatric transplantation

L Cipriani, S A Martin

AACN Clinical Issues in Critical Care Nursing

|August 1, 1994

Summary

Pediatric organ transplantation, including kidney, liver, heart, intestine, and lung, offers therapeutic options for end-stage organ failure. Critical care nurses are vital for managing post-transplant recovery, identifying complications like rejection and infection.

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Area of Science:

Pediatric medicine
Surgical innovation
Critical care nursing

Background:

Pediatric organ transplantation is an established therapy for end-stage organ diseases.
Kidney, liver, and heart transplants are most common, with growing use of intestine, lung, and multi-organ transplants.
Case studies highlight emerging transplant options for liver, intestine, heart, and lung failure in children.

Observation:

Critical care nurses are essential in the postoperative recovery of pediatric transplant patients.
Understanding the transplant process and immunosuppression is key for nurses.
Nurses must identify signs of rejection, infection, and posttransplant lymphoproliferative disease.

Findings:

This review describes emerging transplant options for children with end-stage liver, intestine, heart, and lung failure.
Case reports illustrate advancements in pediatric multi-organ transplantation.
The critical care setting is pivotal for managing complex post-transplant pediatric cases.

Implications:

Enhanced understanding of pediatric transplantation improves patient outcomes.
Critical care nurses require specialized knowledge to manage immunosuppression and detect complications.
Early identification of rejection, infection, and PTLD is crucial for long-term survival in pediatric transplant recipients.

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