Making Living-donor Liver Transplantation a Viable Option for Patients With Portopulmonary Hypertension.

Liver transplantation (LT) in patients with significant portopulmonary hypertension (PoPH) is associated with an increased risk of several complications, including graft failure. Graft loss is one of the major reasons. Living donor LT (LDLT) is not routinely performed in the United States in this patient population.

Leveraging Telemedicine for Quality Improvement Video Review of Critical ICU Events: A Novel Multidisciplinary Form of Education.

Unlabelled: The objectives of this study were to codify the events triggering bedside recording and to report the types of performance issues identified that were then used to inform dedicated ICU quality improvement efforts.

Design: This is a retrospective descriptive analysis of a video review program conducted at a single institution from July 2016 to November 2019.

Setting: Surgical and Trauma ICU at a single urban academic quaternary care center.

Advances in the management of the critically injured patient in the operating room.

Care of trauma patients continues to improve through better understanding of optimal timing of operating room (OR) interventions, improved monitoring for patients with head injury and hemodynamic compromise, optimization of volume status, and use of appropriate vasoactive agents. Investigation of the pathophysiology of trauma patients as they progress to the chronic phase continues to advance interventions in the ICU and the OR. This article is an evidence-based update of anesthetic considerations for these patients, including management of intracranial pressure, cardiac monitoring, management of the damage control abdomen, fluid and hemodynamic management, and control of coagulopathies.