2022
DOI: 10.1111/pan.14421
|View full text |Cite
|
Sign up to set email alerts
|

Outcomes following formation of a dedicated pediatric liver transplant anesthesia team

Abstract: Background: Given the complex nature of liver transplant surgery, adult centers typically use a dedicated liver transplant anesthesia team, which has improved patient outcomes.Aims: Our goal was to determine whether a dedicated pediatric liver transplant anesthesia team was associated with improved patient outcomes. Methods: This retrospective cohort study analyzed patients who underwent liver transplantation from April 2013 to September 2020 at St. Louis Children's Hospital. The general group (April 2013-Dece… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1

Citation Types

0
11
0

Year Published

2022
2022
2024
2024

Publication Types

Select...
6
1

Relationship

1
6

Authors

Journals

citations
Cited by 9 publications
(11 citation statements)
references
References 21 publications
0
11
0
Order By: Relevance
“…Pediatric liver transplantation requires a multidisciplinary team to care for complex patients safely and successfully during this highly specialized and challenging procedure 5 . A dedicated team that included anesthesiologists specializing in the perioperative care of liver transplantation was associated with improved patient outcomes at both adult and pediatric transplant centers 6,7 . The insights gained by a designated anesthesia team led to improved patient blood management (PBM) and decreased ventilator days from increased early extubation.…”
Section: Preparationmentioning
confidence: 99%
See 1 more Smart Citation
“…Pediatric liver transplantation requires a multidisciplinary team to care for complex patients safely and successfully during this highly specialized and challenging procedure 5 . A dedicated team that included anesthesiologists specializing in the perioperative care of liver transplantation was associated with improved patient outcomes at both adult and pediatric transplant centers 6,7 . The insights gained by a designated anesthesia team led to improved patient blood management (PBM) and decreased ventilator days from increased early extubation.…”
Section: Preparationmentioning
confidence: 99%
“… 5 A dedicated team that included anesthesiologists specializing in the perioperative care of liver transplantation was associated with improved patient outcomes at both adult and pediatric transplant centers. 6 , 7 The insights gained by a designated anesthesia team led to improved patient blood management (PBM) and decreased ventilator days from increased early extubation. The importance of having a consistent team of surgeons, nurses, and anesthesiologists cannot be underestimated.…”
Section: Preparationmentioning
confidence: 99%
“…As initially reported in a series of two cases in 2019, our institution established an analgesia protocol for pediatric liver transplantation which includes continuous ESP blockade 20 . Protocol development occurred as part of an initiative to form a dedicated pediatric transplant anesthesia team with standard care procedures 21 . This study aimed to evaluate several outcomes in extubated liver transplant patients, including postoperative pain scores, opioid consumption, return of bowel function, and length of stay.…”
Section: Introductionmentioning
confidence: 99%
“…20 Protocol development occurred as part of an initiative to form a dedicated pediatric transplant anesthesia team with standard care procedures. 21 This study aimed to evaluate several outcomes in extubated liver transplant patients, including postoperative pain scores, opioid consumption, return of bowel function, and length of stay. We hypothesized that patients who received an ESP block would demonstrate improved functional recovery compared to patients who did not, as evidenced by reduced opioid requirements, earlier first bowel movement, and shorter duration of stay in the ICU and the hospital.…”
mentioning
confidence: 99%
“…We previously created and evaluated a simulation-based mastery learning (SBML) curriculum to teach USGIV skills to paediatric anesthesiologists. 16 SBML is an intense form of competency-based learning, in which learners use deliberate practice on a simulator and are expected to reach a high skills standard (minimum passing standard [MPS]) 17 on a simulated assessment before training completion. 18 Those who are unable to meet the MPS participate in further deliberate practice until they can be reassessed and reach the standard.…”
mentioning
confidence: 99%