Anesthetic Management for Orthotopic Liver Transplantation

ネブラスカ大学メディカルセンターで行われている肝臓移植の麻酔管理法を具体的に紹介した.手術の安全性と生存率の向上には,進行性,非可逆性肝疾患の早期の段階での肝移植の適応の決定が重要であること,安全な麻酔管理の条件としての肝疾患の病態の把握,術中に起こりうる事態の予測と的確な対応,予測される合併症の対策,新しい臓器保存液(UW液)の肝移植手術への応用の意義などについて文献的考察を加えて詳述した.

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