Transplant Critical Care: Is There A Need for Sub-specialized Units? — A Perspective

The critical care involved in solid-organ transplantation (SOT) is complex. Pre-, intra- and post-transplant care can significantly impact both – patients’ ability to undergo SOT and their peri-operative morbidity and mortality. Much of the care necessary for medical optimization of end-stage organ...

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Bibliographic Details
Published in:Journal of critical care medicine (Universitatea de Medicină și Farmacie din Târgu-Mureș) 2018-07, Vol.4 (3), p.83-89
Main Authors: Sakpal, Sujit Vijay, Agarwal, Suresh Kumar, Saucedo-Crespo, Hector, Auvenshine, Christopher, Santella, Robert N., Donahue, Steven, Steers, Jeffery
Format: Article
Language:English
Subjects:
abdominal organ transplantation
critical care medicine
Review
solid-organ transplantation
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Summary:The critical care involved in solid-organ transplantation (SOT) is complex. Pre-, intra- and post-transplant care can significantly impact both – patients’ ability to undergo SOT and their peri-operative morbidity and mortality. Much of the care necessary for medical optimization of end-stage organ failure (ESOF) patients to qualify and then successfully undergo SOT, and the management of peri-operative and/or long-term complications thereafter occurs in an intensive care unit (ICU) setting. The current literature specific to critical care in abdominal SOT patients was reviewed. This paper provides a contemporary perspective on the potential multifactorial advantages of sub-specialized transplant critical care units in providing efficient, comprehensive, and collaborative multidisciplinary care.
ISSN:2393-1817
2393-1809
2393-1817
DOI:10.2478/jccm-2018-0014