1. Anatomy of Hepato-Pancreato-Biliary Surgery and Liver Transplantation
2. Anatomy and Physiology of the Liver
3. Pathophysiology Behind Cardiopulmonary Complications of Cirrhosis and Portal Hypertension
4. Liver Transplantation: Graft Variables
5. Surgical Aspects of Liver Transplantation
6. Pre-assessment for Hepato-Pancreato-Biliary and Liver Transplant Surgery
7. The Role of Cardiopulmonary Exercise Testing (CPET) in the Preoperative Assessment of Patients for Hepatico-Pancreatic-Biliary (HPB) Surgery and Liver Transplantation (LT)
8. Anaesthesia for Liver Transplantation
9. How Does the Aetiology of Primary Liver Disease Affect Anaesthesia for Liver Transplantation
10. Haemodynamic Monitoring During Liver Transplant Surgery
11. Point of Care Viscoelastic Haemostasis Monitoring During Liver Transplant Surgery
12. How to Reduce Bleeding and Blood Transfusion During Liver Transplantation
13. Fast Tracking in a Liver Transplant Programme
14. Acute Kidney Injury in Hepatico-Pancreatic-Biliary Surgery and Liver Transplantation
15. Use of Extracorporeal Membrane Oxygenation During Liver Transplantation
16. Liver Preservation with Extracorporeal Perfusion
17. Veno-Venous Bypass in Liver Transplantation
18. Biology of Liver Tumors and Outcomes of Liver Surgery
19. Anaesthesia for Live Donor Hepatectomy
20. Strategies for Low Central Venous Pressure in Liver Resection Surgery
21. Enhanced Recovery After HPB Surgery
22. Postoperative Analgesia in Liver Resection Surgery
23. Surgical Aspects of Hepato-Pancreato-Biliary Surgery
24. Perioperative Anaesthetic Considerations for the Whipple Procedure and Other Pancreatic Surgeries
25. Anaesthetic Management for Patients Undergoing Pancreas Transplantation
26. Anaesthesia for Paediatric HPB Surgery
27. Anaesthesia for Paediatric Liver Transplantation
28. Anaesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation Communication Between HPB Anaesthetists: Meetings, Websites and Forums
This concise, accessible book covers anesthesia for hepatico-pancreatic-biliary (HPB) surgery and transplantation, based on randomized clinical trials, meta-analyses, case series, reports, and hands-on experience. The anatomy, physiology, pathophysiology and clinical consequences are discussed, and the close ties between HPB resection and transplant anesthesia are explored. The content reflects current real-world practice, as liver and pancreatic transplant surgeries have substantially improved in terms of blood-loss reduction, fast tracking and reduced risk. The book also addresses anesthetic aspects in connection with the recently introduced and rapidly expanding practice of laparoscopic surgery; with enhanced recovery; and with pancreatic surgery.
Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation is intended for aspiring HPB and transplant anesthetists, anesthesia trainees, and consultants with experience in HPB anesthesia who want to see whether or not they’re up to date on the current standards.
• Provides key points at the beginning of every chapter
• Presents the content as guidelines to help set up new programs
• Written by experienced and knowledgeable experts
• Dr Zoka Milan, MD, PhD, FRCA, MZI
Dr Milan was born and trained in Serbia, where she worked at a university hospital and practiced major abdominal and cardiac anesthesia, research, teaching, examining, mentoring and management.
Since moving to the UK 20 years ago, she has been involved in anesthesia for hepatico-pancreatic-biliary surgery and liver transplantation at Leeds Teaching Hospitals, Leeds and more recently at King’s College Hospital, London. As liver transplant programs in Leeds and King’s College attract professionals from all over the world, and with her background working in developing and developed regions, sharing her experience and knowledge became an important part of Dr Milan’s work. Additionally, she is involved in the EDIAC examination in European Society of Anesthesiology.
Dr Milan has written one book: Cardiovascular Diseases and Liver Transplantation and translated another: Basic Physics and Measurement in Anaesthesia (from English into Serbian). She has published more than 100 peer-reviewed papers, and is Editor-in-Chief of the Edorium Journal of Anesthesia and the Clinical Audit Journal.
• Dr Chula Goonasekara, MBBS, MD, PhD, MPhil, FRCP, MRCPCH, DCH, FCAI
Dr Goonasekara is a senior clinical scientist with training in both anesthesia and pediatrics. With clinical, teaching and research experience spanning both developing (Sri Lanka) and developed (UK) countries, Dr Goonasekara’s research and clinical interests include pediatric hypertension, end stage renal failure, critical illness, poisoning and sepsis. Dr Goonasekara is actively involved in the teaching of postgraduate doctors in anesthesia, critical care and emergency medicine, in addition to nurses and allied health workers. Since being recruited as a consultant anesthetist by King’s College Hospital in 2012, Dr Goonasekara’s focus has shifted to brain mapping techniques during neurosurgery.