In 2022, the United States surpassed its 1 millionth transplant procedure. This impressive
milestone demonstrates the value and continued need for life-saving transplants. The
specialty of transplant anesthesiology has seen similar growth recently, and the contributions
made to improve the care of transplant patients remain important. New technology offers
improved ways to preserve liver grafts for transplant. Both in vivo and ex vivo machine
perfusion may allow for an increased number of grafts available for transplantation
with excellent outcomes. The role of machine perfusion and anesthesiologists will
continue to grow as more is learned about the value and outcomes of this technology.
Enhanced recovery protocols are well-established in many surgical procedures, and
liver transplantation is no exception. Recent guidelines identified metrics anesthesiologists
can evaluate to improve short- and long-term outcomes for patients undergoing transplants.
Finally, the use of transesophageal echocardiography continues to increase, as does
the understanding of the risk and benefits.
Key Words
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Article info
Publication history
Published online: February 22, 2023
Publication stage
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