Optimizing Intraoperative Haemodynamics and Haemostasis to Enhance Recovery After Liver Transplantation for Cirrhosis in Adults

Review Articles Authors: Bhaagya Gunetilleke , University of Kelaniya, LK About Bhaagya Colombo North Center for Liver Disease, Faculty of Medicine X close Nadeeshya Welikala, University of Kelaniya, GB About Nadeeshya Colombo North Center for Liver Disease, Faculty of Medicine X close Roshangani Ranamuni, University of Kelaniya, GB About Roshangani Colombo North Center for Liver Disease, Faculty of Medicine X close Danushi Jayaweera, University of Kelaniya, LK About Danushi Colombo North Center for Liver Disease, Faculty of Medicine X close Thamosha De Silva, University of Kelaniya, LK About Thamosha Colombo North Center for Liver Disease, Faculty of Medicine X close Oshini Amerasinghe, University of Kelaniya, LK About Oshini Colombo North Center for Liver Disease, Faculty of Medicine X close Chamila Liyanage, University of Kelaniya, LK About Chamila Colombo North Center for Liver Disease, Faculty of Medicine X close Janaki Dissanayake, University of Kelaniya, LK About Janaki Colombo North Center for Liver Disease, Faculty of Medicine X close Chinthaka Appuhamy, University of Kelaniya, LK About Chinthaka Colombo North Center for Liver Disease, Faculty of Medicine X close Meranthi Fernando, University of Kelaniya, LK About Meranthi Colombo North Center for Liver Disease, Faculty of Medicine X close Suchintha Thilakarathne, University of Kelaniya, LK About Suchintha Colombo North Center for Liver Disease, Faculty of Medicine X close Anuradha Dassanayake, University of Kelaniya, LK About Anuradha Colombo North Center for Liver Disease, Faculty of Medicine X close Madunil Niriella, University of Kelaniya, LK About Madunil Colombo North Center for Liver Disease, Faculty of Medicine X close Rohan Siriwardana, University of Kelaniya, LK About Rohan Colombo North Center for Liver Disease, Faculty of Medicine X close Edward Gilbert-Kawai The Royal Liverpool NHS Foundation trust, GB X close Abstract

Cirrhosis with end stage liver disease is a leading cause of non-communicable disease related deaths in Sri Lanka. Liver transplantation remains the only curative treatment for such patients. Multi-organ dysfunction characteristic of end stage liver disease, surgical and anaesthetic factors, quality of the graft, coagulopathy and haemodynamic instability, all lead to the complexity of the perioperative care for liver transplant. Aggressive management focused particularly on maintaining intra-operative haemodynamic stability and optimizing haemostasis, directly impacts successful patient outcomes and forms the core of the anaesthetic strategy.

How to Cite: Gunetilleke, B., Welikala, N., Ranamuni, R., Jayaweera, D., De Silva, T., Amerasinghe, O., Liyanage, C., Dissanayake, J., Appuhamy, C., Fernando, M., Thilakarathne, S., Dassanayake, A., Niriella, M., Siriwardana, R. and Gilbert-Kawai, E., 2022. Optimizing Intraoperative Haemodynamics and Haemostasis to Enhance Recovery After Liver Transplantation for Cirrhosis in Adults. Sri Lankan Journal of Anaesthesiology, 30(1), pp.4–11. DOI: http://doi.org/10.4038/slja.v30i1.9070

Published on 11 Jun 2022.

Peer Reviewed


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