Cesarean delivery under neuraxial anesthesia in a patient with a liver transplant
Introduction. Improved outcomes after liver transplantation contribute to a successful pregnancy and delivery in transplant recipients. Anesthesiology teams face challenges when providing perioperative care to patients who have a liver transplant and undergo cesarean delivery, which include: an incr...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2023-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300056K.pdf |
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| author | Krušić Slavica Pejčić Nada Stojanović-Tasić Mirjana Damnjanović Dijana Abir Gillian |
| author_facet | Krušić Slavica Pejčić Nada Stojanović-Tasić Mirjana Damnjanović Dijana Abir Gillian |
| author_sort | Krušić Slavica |
| collection | DOAJ |
| description | Introduction. Improved outcomes after liver transplantation contribute to a successful pregnancy and delivery in transplant recipients. Anesthesiology teams face challenges when providing perioperative care to patients who have a liver transplant and undergo cesarean delivery, which include: an increased rate of cesarean delivery, a high risk of infection, and a high risk of interaction between immunosuppressant and anesthetic drugs. Case outline. We report the case of a 28-year-old patient with a liver transplant (from a live donor) who underwent elective cesarean delivery under neuraxial anesthesia. Appropriate anesthetic management is critical to ensure optimal perioperative maternal and fetal outcomes. Cardiovascular stability after neuraxial anesthesia was maintained with adequate perioperative intravenous fluid management and early vasopressor(s) administration to preserve hepatic perfusion. Multimodal postoperative analgesia was administered; however, caution is required when prescribing drugs that have the potential for hepatic and renal side effects. Conclusion. Multidisciplinary team evaluation, planning, and preparation are vital for optimizing safe care and delivery of pregnant patients with transplanted organs. |
| first_indexed | 2024-03-12T16:12:30Z |
| format | Article |
| id | doaj.art-6fbd7adb1d424b3493bcfa635dffeb05 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 2406-0895 |
| language | English |
| last_indexed | 2024-03-12T16:12:30Z |
| publishDate | 2023-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-6fbd7adb1d424b3493bcfa635dffeb052023-08-09T12:42:41ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952023-01-011515-636737010.2298/SARH221108056K0370-81792300056KCesarean delivery under neuraxial anesthesia in a patient with a liver transplantKrušić Slavica0Pejčić Nada1Stojanović-Tasić Mirjana2Damnjanović Dijana3Abir Gillian4Narodni Front Clinic for Gynecology and Obstetrics Belgrade, SerbiaLeskovac General Hospital, Leskovac, SerbiaDr. Laza Lazarević Clinic for Mental Disorders, Belgrade, SerbiaJevremova Special Gynecology Hospital with Maternity Ward, Belgrade, Serbia;Stanford University, School of Medicine, Palo Alto, California, United StatesIntroduction. Improved outcomes after liver transplantation contribute to a successful pregnancy and delivery in transplant recipients. Anesthesiology teams face challenges when providing perioperative care to patients who have a liver transplant and undergo cesarean delivery, which include: an increased rate of cesarean delivery, a high risk of infection, and a high risk of interaction between immunosuppressant and anesthetic drugs. Case outline. We report the case of a 28-year-old patient with a liver transplant (from a live donor) who underwent elective cesarean delivery under neuraxial anesthesia. Appropriate anesthetic management is critical to ensure optimal perioperative maternal and fetal outcomes. Cardiovascular stability after neuraxial anesthesia was maintained with adequate perioperative intravenous fluid management and early vasopressor(s) administration to preserve hepatic perfusion. Multimodal postoperative analgesia was administered; however, caution is required when prescribing drugs that have the potential for hepatic and renal side effects. Conclusion. Multidisciplinary team evaluation, planning, and preparation are vital for optimizing safe care and delivery of pregnant patients with transplanted organs.https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300056K.pdfanesthesiacesarean deliveryliver transplant |
| spellingShingle | Krušić Slavica Pejčić Nada Stojanović-Tasić Mirjana Damnjanović Dijana Abir Gillian Cesarean delivery under neuraxial anesthesia in a patient with a liver transplant Srpski Arhiv za Celokupno Lekarstvo anesthesia cesarean delivery liver transplant |
| title | Cesarean delivery under neuraxial anesthesia in a patient with a liver transplant |
| title_full | Cesarean delivery under neuraxial anesthesia in a patient with a liver transplant |
| title_fullStr | Cesarean delivery under neuraxial anesthesia in a patient with a liver transplant |
| title_full_unstemmed | Cesarean delivery under neuraxial anesthesia in a patient with a liver transplant |
| title_short | Cesarean delivery under neuraxial anesthesia in a patient with a liver transplant |
| title_sort | cesarean delivery under neuraxial anesthesia in a patient with a liver transplant |
| topic | anesthesia cesarean delivery liver transplant |
| url | https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300056K.pdf |
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