CPM Spring 2019 - 19

daup h i n c m s .o rg

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SATURDAY

JUNE 22

he text book with the title listed above is a new publication
describing the pre-operative care for some of the sickest
patients we may be confronted with; those with end stage
liver disease (ESLD). The editors are from Germany (Dr.
Saner) and the Department of Anesthesiology and Perioperative
Medicine at Penn State Hershey (Dr. Bezinover). Below is a
quote from Dr. Bezinover:

"Patients with ESLD presenting for transplantation are cared
for by specialists in hepatology, critical care, surgery, and anesthesia and frequently require hospital admission and treatment
in an intensive care unit (ICU). They bring with them many
co-morbidities requiring careful pre-transplant evaluation
and management including acute and chronic cardiovascular,
pulmonary, and kidney disease, as well as coagulopathy. Many
of these disorders have a significant impact on morbidity and
mortality, and even selection for transplantation. Written by
experts in the fields of ESLD and transplantation from a variety
of disciplines, the authors present up to date information on the
evaluation and management of these co-morbidities providing
unique insight and perspective. This book will be a valuable
resource for all medical professionals caring for patients with
ESLD being considered for transplantation."
With chapters authored by medical specialists from around the
world, I contend that, regardless of whether you are practicing
within an institution performing liver transplantation or not,
the contents of this book will provide value for anesthesiologists,
surgeons, intensivists and primary care specialists. The first
two chapters deal with the cardiac and pulmonary evaluation
of critically ill patients to facilitate perioperative optimization.
Other sections concentrate on the evaluation and management
of acute kidney injury, coagulopathy and thrombosis, electrolyte
abnormalities, acute gastrointestinal bleeding; wrapping up
with the care of individuals with acute liver failure. The book is
loaded with formulas, algorithms, graphs, cartoons and photos
to aid in understanding the complexities of critical care medicine.
Although I am not sure when and if I will be in the OR
again as an anesthesiologist for a liver transplant, the editors
and authors dramatically improved my understanding of what
is required to evaluate, treat and prepare a patient with ESLD
for potential liver transplantation.

CITY ISLAND/
CAROUSEL PAVILION

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All proceeds help fund
benevolent care for
hospice patients and
their families.
Sponsorship and
registrations forms
are available at
HomelandHospice.org/
5K-MemoryWalk/
or, by calling Myra at
717-221-7890.

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Central PA Medicine Spring 2019 19

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CPM Spring 2019

Table of Contents for the Digital Edition of CPM Spring 2019