Intensive Care of Pulmonary Complications Following Liver Transplantation. (November 2018)

• Record Type: Journal Article
• Authors: Lui, Justin K.; Spaho, Lidia; Holzwanger, Erik; Bui, Rosa; Daly, Jennifer S.; Bozorgzadeh, Adel; Kopec, Scott E.
• Is Part Of: Journal of intensive care medicine. Volume 33:Number 11(2018)
• Page Start: 595
• Page End: 608
• Publication Date: 2018-11
• Subjects: intensive care -- pulmonary complications -- liver transplantation -- pleural effusions -- pulmonary edema -- atelectasis -- pneumonia -- risk factors; Critical care medicine -- Periodicals; Critical Care -- Periodicals; Soins intensifs -- Périodiques; Soins intensifs; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.02805
• DOI: 10.1177/0885066618757410
• Languages: English
• ISSNs: 0885-0666

Abstract

Chronic liver disease has been associated with pulmonary dysfunction both before and after liver transplantation. Post-liver transplantation pulmonary complications can affect both morbidity and mortality often necessitating intensive care during the immediate postoperative period. The major pulmonary complications include pneumonia, pleural effusions, pulmonary edema, and atelectasis. Poor clinical outcomes have been known to be associated with age, severity of liver dysfunction, and preexisting lung disease as well as perioperative events related to fluid balance, particularly transfusion and fluid volumes. Delineating each and every one of these pulmonary complications and their associated risk factors becomes paramount in guiding specific therapeutic strategies.