Anesthesia for Patients with a Previous Heart Transplant

Anesthetic and perioperative management of intestinal and multivisceral allograft recipient in nontransplant surgery

“…Most induction agents can be used. Propofol is a safe choice [85–87] but etomidate might be preferable in cardiovascularly unstable patients. In the presence of encephalopathy (e.g.…”

“…Overtransfusion of blood products leading to hemoconcentration could be the cause of a graft’s arterial thrombosis, a complication with high mortality rate in the transplant population [103]. Broad spectrum antibiotics for prophylaxis or for treatment of a suspected or confirmed infection should be continued during the time of operation [11,84,85]. Because of the possibility of endocrine secretory tumors such as carcinoids, octreotide should be available [104].…”

Anaesthesia for patients with a transplanted organ

“…The solvent is a castor oil derivative (Cremophor EL) that is associated with anaphylactic and anaphylactoid reactions ( 8). Intravenous cyclosporine also produces immediate vasoconstriction and hyperkalaemia, and must be administered slowly ( 3). Azathioprine is a cytotoxic drug, and its handling needs special precautions.…”

“…Some centres avoid benzodiazepines to facilitate early extubation ( 5). Propofol was a safe induction agent for uraemic patients ( 182), and Harefield hospital has used propofol for over 1000 small post‐transplant operations without complications ( 3). Careful administration is, however, warranted in heart and lung transplant patients due to its vasodilatory potential, and etomidate may be preferable in cardiovascularly unstable patients ( 5, 6).…”

Utilising Residual 2% Methyl Cellulose

“…Col HARIQBAL SINGH Senior Adviser (Radiodiagnosis), Command Hospital, Pune 411 040. severe during adulthood. Orchitis occurs in about one in four males who develop mumps after puberty and may lead to sterility [1]. In developed countries, 85% of infections occurred in children younger than 15 years prior to widespread childhood immunisation-now disease occurs in young adults, producing epidemics in cQIleges/workplace [2].…”