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Transplant Critical Care: Is there a Need for Sub-specialized Units? — A Perspective

S. Sakpal,S. Agarwal,Hector Saucedo-Crespo,C. Auvenshine,R. Santella,S. Donahue,J. Steers

Published 2018 in The Journal of Critical Care Medicine

ABSTRACT

Abstract The critical care involved in solid-organ transplantation (SOT) is complex. Pre-, intra- and post-transplant care can significantly impact both – patients’ ability to undergo SOT and their peri-operative morbidity and mortality. Much of the care necessary for medical optimization of end-stage organ failure (ESOF) patients to qualify and then successfully undergo SOT, and the management of peri-operative and/or long-term complications thereafter occurs in an intensive care unit (ICU) setting. The current literature specific to critical care in abdominal SOT patients was reviewed. This paper provides a contemporary perspective on the potential multifactorial advantages of sub-specialized transplant critical care units in providing efficient, comprehensive, and collaborative multidisciplinary care.

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