Publications by authors named "Elizabeth Kroepfl"

Article Synopsis
  • * In a study involving 173 liver transplant patients, transthoracic echocardiography (TTE) was used to evaluate heart function one day post-surgery, revealing that 82% had hIRI, but there was no significant decline in left ventricular ejection fraction (LVEF) after the transplant.
  • * The findings suggest that while hIRI is prevalent, it does not seem to cause an immediate drop in heart function, indicating that other factors may contribute to post-transplant heart issues.
View Article and Find Full Text PDF

Background: Intraoperative fluid management may affect the outcome after kidney transplantation. However, the amount and type of fluid administered, and monitoring techniques vary greatly between institutions and there are limited prospective randomized trials and meta-analyses to guide fluid management in kidney transplant recipients.

Methods: Members of the American Society of Anesthesiologists (ASA) committee on transplantation reviewed the current literature on the amount and type of fluids (albumin, starches, 0.

View Article and Find Full Text PDF

Background: Ischemia-reperfusion injury (IRI) is a common cause of allograft dysfunction and patient morbidity in solid organ transplantation. This study compares the effect of different inhaled anesthetics on early IRI and clinical outcomes in pancreas allograft recipients.

Methods: Data were extracted retrospectively for pancreas transplants at a single center over a 15-year period.

View Article and Find Full Text PDF

Background: Transversus abdominis plane (TAP) blocks are useful for adjunctive pain control following laparoscopic live donor nephrectomy (LLDN). The objective was to determine if TAP catheter provides additional analgesia compared with single-injection TAP block alone for kidney donors.

Methods: In this prospective, double-blinded, randomized controlled trial, LLDN patients received a single TAP injection of 30 mL 0.

View Article and Find Full Text PDF

Background: Current practices emphasize a multimodal approach to perioperative analgesia due to higher efficacy and decreased opioid usage. Analgesia for pancreas transplant (PT) has traditionally been managed with intravenous (IV) opioids, and reports of transversus abdominis plane (TAP) blocks are limited in this population.

Methods: Three interventions were compared in adult PT patients, including IV opioids, TAP catheter, and TAP block with liposomal bupivacaine.

View Article and Find Full Text PDF