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    Optimizing Intraoperative Haemodynamics and Haemostasis to Enhance Recovery After Liver Transplantation for Cirrhosis in Adults

    Authors:

    Bhaagya Gunetilleke ,

    University of Kelaniya, LK
    About Bhaagya
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Nadeeshya Welikala,

    University of Kelaniya, GB
    About Nadeeshya
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Roshangani Ranamuni,

    University of Kelaniya, GB
    About Roshangani
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Danushi Jayaweera,

    University of Kelaniya, LK
    About Danushi
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Thamosha De Silva,

    University of Kelaniya, LK
    About Thamosha
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Oshini Amerasinghe,

    University of Kelaniya, LK
    About Oshini
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Chamila Liyanage,

    University of Kelaniya, LK
    About Chamila
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Janaki Dissanayake,

    University of Kelaniya, LK
    About Janaki
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Chinthaka Appuhamy,

    University of Kelaniya, LK
    About Chinthaka
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Meranthi Fernando,

    University of Kelaniya, LK
    About Meranthi
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Suchintha Thilakarathne,

    University of Kelaniya, LK
    About Suchintha
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Anuradha Dassanayake,

    University of Kelaniya, LK
    About Anuradha
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Madunil Niriella,

    University of Kelaniya, LK
    About Madunil
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Rohan Siriwardana,

    University of Kelaniya, LK
    About Rohan
    Colombo North Center for Liver Disease, Faculty of Medicine
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    Edward Gilbert-Kawai

    The Royal Liverpool NHS Foundation trust, GB
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    Abstract

    Cirrhosis with end stage liver disease is a leading cause of non-communicable disease related deaths in Sri Lanka. Liver transplantation remains the only curative treatment for such patients. Multi-organ dysfunction characteristic of end stage liver disease, surgical and anaesthetic factors, quality of the graft, coagulopathy and haemodynamic instability, all lead to the complexity of the perioperative care for liver transplant. Aggressive management focused particularly on maintaining intra-operative haemodynamic stability and optimizing haemostasis, directly impacts successful patient outcomes and forms the core of the anaesthetic strategy.

    Keywords: Optimisation, Intra-operative, Haemodynamics, Haemostasis, Cirrhosis, Liver transplantt
    How to Cite: Gunetilleke, B., Welikala, N., Ranamuni, R., Jayaweera, D., De Silva, T., Amerasinghe, O., Liyanage, C., Dissanayake, J., Appuhamy, C., Fernando, M., Thilakarathne, S., Dassanayake, A., Niriella, M., Siriwardana, R. and Gilbert-Kawai, E., 2022. Optimizing Intraoperative Haemodynamics and Haemostasis to Enhance Recovery After Liver Transplantation for Cirrhosis in Adults. Sri Lankan Journal of Anaesthesiology, 30(1), pp.4–11. DOI: http://doi.org/10.4038/slja.v30i1.9070
    Published on 11 Jun 2022.
    Peer Reviewed
    CC BY 4.0

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