International Anaesthesiology Clinics: An International View of Perioperative Issues in Liver Transplantation--Part 1.
Seven papers from authors around the world cover a variety of issues including paediatric transplantation, perioperative care of the living donor and recipient in Japan, the use of recombinant activated factor VII in liver transplantation, portopulmonary hypertension and hepatopulmonary syndrome, renal failure in end-stage liver disease, supportive care after brain death for the donor candidate, antifibrinolytics, metabolic issues in liver transplantation and immunosuppressive agents.
Although in many ways a subspecialty text, the papers on metabolic issues, renal failure, the use of recombinant factor VII and the supportive care of the donor candidate after brain death are the better papers that have much more to offer to the broader anaesthetic community.
Better management of donors has significant longterm benefits for recipients. The use of thyroxine or triiodothyronine, methylprednisolone, vasopressin and insulin, especially in combination, can markedly improve long-term donor outcome. However, the timing of the introduction of these therapies can involve significant ethical considerations.
Education of all medical practitioners with respect to liver disease becomes even more important as the impact of the rising incidence of hepatitis C in our community has its full effect in the future.
Australia is well represented in the text by an excellent paper on recombinant factor VII by Dr Neville Gibbs from Perth. The issue is also a credit to the work done by Dr William Merritt, an anaesthesiologist from the Johns Hopkins in Baltimore, who filled the position of President of the International Liver Transplantation Society. The text reflects well on his truly international approach to the role.
The text could be recommended only for a large departmental library.
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|Publication:||Anaesthesia and Intensive Care|
|Article Type:||Book review|
|Date:||Feb 1, 2007|
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