Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure
Acute-on-chronic liver failure (ACLF) can be cured by liver transplantation; however, perioperative complications still affect posttransplant outcomes. In recent years, early rehabilitation for critical illness, liver disease, and surgery have significantly improved organ reserve function, surgery t...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co., Ltd.
2022-09-01
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| Series: | Liver Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2542568422000381 |
| _version_ | 1811208386176352256 |
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| author | Haijin Lv Haiqing Zheng Jianrong Liu Qing Cai Yuji Ren Huimin Yi Yang Yang Xiquan Hu Guihua Chen |
| author_facet | Haijin Lv Haiqing Zheng Jianrong Liu Qing Cai Yuji Ren Huimin Yi Yang Yang Xiquan Hu Guihua Chen |
| author_sort | Haijin Lv |
| collection | DOAJ |
| description | Acute-on-chronic liver failure (ACLF) can be cured by liver transplantation; however, perioperative complications still affect posttransplant outcomes. In recent years, early rehabilitation for critical illness, liver disease, and surgery have significantly improved organ reserve function, surgery tolerance, and postoperative quality of life. They could also be applied in the perioperative period of liver transplantation in patients with ACLF. Therefore, the Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association, the Organ Transplant Committee of China Association Rehabilitation Medicine, and the Guangdong Medical Doctor Association of Organ Transplantation conducted a comprehensive review of rehabilitation in end-stage liver disease, critical illness and surgical patients by summarizing current evidence and best clinical practices and proposed a practice consensus on evaluation of cardiopulmonary and physical function, rehabilitation or physiotherapies, as well as the safety concerns in perioperative liver transplant recipients. It will be a valuable resource for hepatologists, transplant surgeons, and intensivists as they care for ACLF patients during transplantation. |
| first_indexed | 2024-04-12T04:20:21Z |
| format | Article |
| id | doaj.art-b14638ee08d5444cb3a66c5fcbabbe47 |
| institution | Directory Open Access Journal |
| issn | 2542-5684 |
| language | English |
| last_indexed | 2024-04-12T04:20:21Z |
| publishDate | 2022-09-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Liver Research |
| spelling | doaj.art-b14638ee08d5444cb3a66c5fcbabbe472022-12-22T03:48:15ZengKeAi Communications Co., Ltd.Liver Research2542-56842022-09-0163121129Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failureHaijin Lv0Haiqing Zheng1Jianrong Liu2Qing Cai3Yuji Ren4Huimin Yi5Yang Yang6Xiquan Hu7Guihua Chen8Surgical Intensive Care Unit, Intensive Care Unit of Organ Transplantation, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaSurgical Intensive Care Unit, Intensive Care Unit of Organ Transplantation, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaDepartment of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, ChinaSurgical Intensive Care Unit, Intensive Care Unit of Organ Transplantation, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China; Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China; Corresponding author. Surgical Intensive Care Unit, Intensive Care Unit of Organ Transplantation, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China; Corresponding authors. Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China; Corresponding author. Department of Rehabilitation Medicine, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China; Corresponding authors. Department of Hepatic Surgery and Liver Transplantation Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.Acute-on-chronic liver failure (ACLF) can be cured by liver transplantation; however, perioperative complications still affect posttransplant outcomes. In recent years, early rehabilitation for critical illness, liver disease, and surgery have significantly improved organ reserve function, surgery tolerance, and postoperative quality of life. They could also be applied in the perioperative period of liver transplantation in patients with ACLF. Therefore, the Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association, the Organ Transplant Committee of China Association Rehabilitation Medicine, and the Guangdong Medical Doctor Association of Organ Transplantation conducted a comprehensive review of rehabilitation in end-stage liver disease, critical illness and surgical patients by summarizing current evidence and best clinical practices and proposed a practice consensus on evaluation of cardiopulmonary and physical function, rehabilitation or physiotherapies, as well as the safety concerns in perioperative liver transplant recipients. It will be a valuable resource for hepatologists, transplant surgeons, and intensivists as they care for ACLF patients during transplantation.http://www.sciencedirect.com/science/article/pii/S2542568422000381Acute-on-chronic liver failure (ACLF)Liver transplantation (LT)Perioperative periodRehabilitationEvaluationIntervention |
| spellingShingle | Haijin Lv Haiqing Zheng Jianrong Liu Qing Cai Yuji Ren Huimin Yi Yang Yang Xiquan Hu Guihua Chen Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure Liver Research Acute-on-chronic liver failure (ACLF) Liver transplantation (LT) Perioperative period Rehabilitation Evaluation Intervention |
| title | Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure |
| title_full | Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure |
| title_fullStr | Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure |
| title_full_unstemmed | Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure |
| title_short | Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure |
| title_sort | expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute on chronic liver failure |
| topic | Acute-on-chronic liver failure (ACLF) Liver transplantation (LT) Perioperative period Rehabilitation Evaluation Intervention |
| url | http://www.sciencedirect.com/science/article/pii/S2542568422000381 |
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