Mc. Bellamy et al., LIVING-RELATED SMALL-BOWEL TRANSPLANTATION - ANESTHESIA AND PERIOPERATIVE CARE, European journal of anaesthesiology, 14(4), 1997, pp. 450-454
The peri-operative management of the only surviving case, to date, of
living-related small bowel transplantation is described. The anaesthet
ic technique was chosen to optimize hepato-splanchnic blood flow. Peri
operative splanchnic blood flow was measured and alterations in flow w
ith changes in inotropic agents and volume loading monitored. There ap
pears to be a role for the use of dopexamine and aggressive volume loa
ding.