Review Article|Articles in Press

2022 Clinical Updates in Liver Transplantation

Published:February 22, 2023DOI:
      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.

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