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. 2023 Jan;67(1):32-38.
doi: 10.4103/ija.ija_1025_22. Epub 2023 Jan 21.

Recent advances in anaesthesia for abdominal solid organ transplantation

Lakshmi Kumar  1 , Sandeep Sahu  2 , Alka S Deo  3 , R Selvakumar  4 , Ameya A Panchwag  5 , Priyanka Pavithran  6
Affiliations

Recent advances in anaesthesia for abdominal solid organ transplantation

Lakshmi Kumar et al. Indian J Anaesth. 2023 Jan.

Abstract

Organ transplantation has undergone remarkable revolution in the last two decades and offers a scope for survival amongst patients with end-stage organ failure. Along with availability of advanced surgical equipment and haemodynamic monitors, minimally invasive surgical techniques have emerged as options for surgery both amongst the donors and recipients. Newer trends in haemodynamic monitoring and expertise in ultrasound guided fascial plane blocks have changed the management in both donors and recipients. The availability of factor concentrates and point-of-care tests for coagulation have allowed optimal and restrictive fluid management of patients. Newer immunosuppressive agents are useful in minimising rejection following transplantation. Concepts on enhanced recovery after surgery have allowed early extubation, feeding and shorter hospital stay. This review gives an overview of the recent progress in anaesthesia for organ transplantation.

Keywords: Advances; anaesthesia; organ transplant.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) TAP block showing external oblique (EO), internal oblique (IO) muscle and drug deposition in between IO and transversus abdominis (TA) muscle (b) Quadratus Lumborum (QL) block showing common sheath of EO, IO and TA and QL muscle. (c) Erector spinae block showing rhomboid, trapezius and erector spinae muscle and transverse process of T8-9
See this image and copyright information in PMC

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