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Living related small bowel transplantation: anaesthesia and peri-operative care
M C Bellamy1, S M Enright, Y Young
1Department of Anaesthesia and Intensive Therapy, St James's University Hospital, Leeds, UK.
European Journal of Anaesthesiology
|July 1, 1997
Abstract:
The peri-operative management of the only surviving case, to date, of living-related small bowel transplantation is described. The anaesthetic technique was chosen to optimize hepato-splanchnic blood flow. Peri-operative splanchnic blood flow was measured and alterations in flow with changes in inotropic agents and volume loading monitored. There appears to be a role for the use of dopexamine and aggressive volume loading.