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Review
. 2019 Oct-Dec;31(4):561-570.
doi: 10.5935/0103-507X.20190076.

Approach to the liver transplant early postoperative period: an institutional standpoint

[Article in Portuguese, English]
Beatriz Amaral  1 , Madalena Vicente  1 , Carla Sofia Maravilha Pereira  1 , Teresa Araújo  2 , Ana Ribeiro  2 , Rui Pereira  1 , Rui Perdigoto  3 , Paulo Marcelino  1
Affiliations
Review

Approach to the liver transplant early postoperative period: an institutional standpoint

[Article in Portuguese, English]
Beatriz Amaral et al. Rev Bras Ter Intensiva. 2019 Oct-Dec.

Abstract
in English, Portuguese

The liver transplant program in our center started in 1992, and post-liver transplant patients are still admitted to the intensive care unit. For the intensive care physician, a learning curve started then, skills were acquired, and a specific practice was established. Throughout this time, several concepts changed, improving the care of these patients. The practical approach varies between liver transplant centers, according to local specificities. Hence, we wanted to present our routine practice to stimulate the debate between dedicated teams, which can allow the introduction of new ideas and potentially improve each local standard of care.

O programa de transplante de fígado teve início em nosso centro em 1992, e pacientes em pós-operatório de transplante hepático ainda são admitidos à unidade de terapia intensiva. Uma curva de aprendizado do médico intensivista teve então início, com aquisição de habilidades e estabelecimento de uma prática específica. Contudo, muitos dos conceitos se modificaram com o tempo, o que conduziu a uma melhora nos cuidados proporcionados a esses pacientes. A abordagem prática varia entre diferentes centros de transplante de fígado, segundo especificidades locais. Assim, ensejamos apresentar nossa prática para estimular o debate entre diferentes equipes dedicadas, o que tem potencial de permitir a introdução de novas ideias e, possivelmente, melhorar o padrão de cuidados em cada instituição.

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Conflict of interest statement

Conflicts of interest: None.

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