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This concise, accessible book covers anesthesia for hepatico-pancreatic-biliary (HPB) surgery and transplantation, based on randomized clinical trials, meta-analyses, case series, reports, and hands-on experience. The anatomy, physiology, pathophysiology and clinical consequences are discussed, and the close ties between HPB resection and transplant anesthesia are explored. The content reflects current real-world practice, as liver and pancreatic transplant surgeries have substantially improved in terms of blood-loss reduction, fast tracking and reduced risk. The book also addresses anesthetic aspects in connection with the recently introduced and rapidly expanding practice of laparoscopic surgery; with enhanced recovery; and with pancreatic surgery.
Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation is intended for aspiring HPB and transplant anesthetists, anesthesia trainees, and consultants with experience in HPB anesthesia who want to see whether or not they’re up to date on the current standards.
“The editors and publishers have aimed this book at a wider audience than just those specializing in liver transplant and specialist hepatobiliary anesthesia. … This book is at its best when recounting the authors’ real-world practice, which feels up-to-date and evidence-based. Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation will be a welcome addition to the shelves of the world’s transplant centers, but it should also find a home on less lofty shelves.” (Nicholas Weston and David W. Hewson, Anesthesia & Analgesia, Vol. 132 (6), June, 2021)
“This book makes an excellent read not only for the budding hepato-pancreato-biliary anaesthetists amongst us, but also as a worthy aide memoire for those experienced in HPB anaesthesia who want to see whether they are up to date with the current standards.” (Ned Gilbert-Kawai, EJA European Journal of Anaesthesiology, Vol. 38 (5), 2021)
Pages i-vii
Pages 1-1
Anatomy of Hepato-Pancreato-Biliary Surgery and Liver Transplantation
Evangelia Florou, Joe Macmillan, Parthi Srinivasan
Pages 3-14
Anatomy and Physiology of the Liver
Lucy L. Yang
Pages 15-40
Pages 41-41
Pathophysiology Behind Cardiopulmonary Complications of Cirrhosis and Portal Hypertension
Søren Møller, Karen V. Danielsen, Flemming Bendtsen
Pages 43-72
Liver Transplantation: Graft Variables
Shirin Elizabeth Khorsandi
Pages 73-84
Surgical Aspects of Liver Transplantation
Evangelia Florou, Joe Macmillan, Andreas Prachalias
Pages 85-109
Pre-assessment for Hepato-Pancreato-Biliary and Liver Transplant Surgery
Marina Gitman
Pages 111-136
Alice Loughnan, Shrijit Nair, Stephen James
Pages 137-160
Anaesthesia for Liver Transplantation
Lavinia Brezeanu, Matthew Evans, Zoka Milan
Pages 161-176
How Does the Aetiology of Primary Liver Disease Affect Anaesthesia for Liver Transplantation
Mussarat N. Rahim, Michael A. Heneghan
Pages 177-193
Haemodynamic Monitoring During Liver Transplant Surgery
Annabel Blasi, Gianni Biancofiore, David Green
Pages 195-208
Point of Care Viscoelastic Haemostasis Monitoring During Liver Transplant Surgery
Antonio Leon-Justel, Joe Macmillan
Pages 209-223
How to Reduce Bleeding and Blood Transfusion During Liver Transplantation
Luc Massicotte, Zoltan Hevesi
Pages 225-233
Fast Tracking in a Liver Transplant Programme
Stephen Aniskevich, Ryan Chadha, Sher Lu Pai
Pages 235-245
Acute Kidney Injury in Hepatico-Pancreatic-Biliary Surgery and Liver Transplantation
Won Ho Kim
Pages 247-264
Use of Extracorporeal Membrane Oxygenation During Liver Transplantation
Marc Giménez-Milà, Antoni Sabaté, Pádraig Ó. Scanaill
Pages 265-273
Liver Preservation with Extracorporeal Perfusion
Miriam Cortes-Cerisuelo
Pages 275-288
Veno-Venous Bypass in Liver Transplantation
Krishna Prasad Rao, Zoka Milan
Pages 289-300
Pages 301-301
Biology of Liver Tumors and Outcomes of Liver Surgery
Elissaios A. Kontis
Pages 303-313
Anaesthesia for Live Donor Hepatectomy
Khaled Yassen
Pages 315-326
Strategies for Low Central Venous Pressure in Liver Resection Surgery
Aidan Patrick Devlin
Pages 327-332
Enhanced Recovery After HPB Surgery
Joe Macmillan
Pages 333-351
Postoperative Analgesia in Liver Resection Surgery
Nick Schofield, Marta Campbell
Pages 353-365
Pages 367-367
Surgical Aspects of Hepato-Pancreato-Biliary Surgery
Evangelia Florou, Joe Macmillan, Andreas Prachalias
Pages 369-387
Perioperative Anaesthetic Considerations for the Whipple Procedure and Other Pancreatic Surgeries
K. Lankester, T. Hughes
Pages 389-412
Anaesthetic Management for Patients Undergoing Pancreas Transplantation
Lakshmi Kumar, Ramachandran N. Menon
Pages 413-428
Pages 429-429
Anaesthesia for Paediatric HPB Surgery
James Gill, Anish Gupta
Pages 431-438
Anaesthesia for Paediatric Liver Transplantation
Gurinder Singh Malhi, Peter Bromley
Pages 439-454
Naomi Lucas
Pages 455-470
Pages 471-475
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