Anesthetic management of the first forearm transplantation in Korea
10.4097/kjae.2018.71.1.66
- Author:
Jinyeol KWON
1
;
Sung Mee JUNG
;
Sae Yeon KIM
;
Nyeong Keon KWON
;
Sang Jin PARK
Author Information
1. Department of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Daegu, Korea. applejsm@gmail.com
- Publication Type:Case Report
- Keywords:
Anesthesia;
Fluid therapy;
Forearm;
Graft survival;
Vascularized composite allotransplantation
- MeSH:
Anesthesia;
Cooperative Behavior;
Fluid Therapy;
Forearm;
Graft Survival;
Hemodynamics;
Immunosuppression;
Korea;
Rehabilitation;
Reperfusion Injury;
Transplants;
Vascularized Composite Allotransplantation;
Vasoconstriction
- From:Korean Journal of Anesthesiology
2018;71(1):66-70
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vascularized composite allotransplantation for the forearm is a complex surgical procedure, requiring multidisciplinary collaboration. It is important to provide optimal blood flow to the grafts, effective immunosuppression, and early rehabilitation for graft survival and good functional outcomes. As ischemia-reperfusion injury and substantial but unquantifiable blood loss are inevitable in this type of surgery, anesthetic management should focus on providing adequate hemodynamic management with proper monitoring, and anesthetic and analgesic strategies to prevent vasoconstriction in the graft. In this paper, we describe the anesthetic management of the first forearm transplantation performed in Korea.
