肝臟移植病人周手術期重症照護

活體肝移植是器官供體嚴重短缺時代患者的寶貴選擇，然而肝臟移植手術對於麻醉科醫師和外科醫生以及病人來說都是一項重要而富有挑戰性的手術。在肝臟移植周手術期的壓力會增加，所有減少代謝壓力反應的策略都可減少醫療併發症。
肝臟移植受贈者的血管和膽道併發症發生率高，必須警惕這些併發症的早期症狀和體徵。多學科醫療與重症醫療在術後系統性管理的架構下，合作為肝臟移植周手術期重症監護提供最佳照護品質。
術後加速康復是很有價值的步驟，這些病人應該像其他手術病人一樣進行管理，並盡一切努力加快他們的康復，儘量減少住院的時間。

Perioperative Critical Care Management of the Liver Transplant Patient

Living donor liver transplantation is a valuable option for patients in the era of significant organ donor shortage. However Liver transplantation surgery is a major and challenging procedure for both anesthesiologists and surgeons, and for the patient. Perioperative stress is increased during liver transplantation surgery, and all measures implemented to reduce the metabolic stress response could potentially reduce medical complications.
Live donor transplant recipients have higher rates of vascular and biliary complications and it is important to be vigilant for early signs and symptoms of these complications. Multidisciplinary medical care with critical care medicine collaborating provides optimal timing for liver transplantation and perioperative intensive care under system-based considerations for postoperative management.
Enhanced recovery after surgery protocols may be valuable. These patients should be managed like other elective surgical patients, and every effort should be made to expedite their recovery and minimize their time in hospital.