Abstract
Introduction: The UMCG is the only medical centre in the Netherlands that has performed liver transplants on children since 1982. In the last few years a lot has improved in the treatment thereof.
At this current moment approximately 15 children are being transplanted each year. The survival rate has improved by 50%.
During these admissions pitfalls may occur that can lead to postoperative complications!
Aim: To give insight on the means used to recognize post operative complications in early stages in children after liver transplants.
Methods: Protocols have been developed in which post operative parameters concerning monitoring, blood results and radiology imaging have been described. Nurse observation and interpretation parameters are of further essential significance. These are mainly directed towards prevention of infections, timely detubation, and kee** up with the fluid balance and temperature of the patient. Adjacent to that, the in research phase TEG-study, offers important information about the coagulation.
Results: Working according to protocol makes it possible to perceive and intercept complications in early stages. Moreover we aim at thrombosis, infections and liver failure. In pediatric care parents are indissolubly attached to their child. This makes parental involvement in children's admissions of essential value.
Conclusion: We use protocols that can help detect complications in an early stage after liver transplants.
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Wildeboer, G., Geerts, H., De Groot, B. et al. 62 Early Diagnosis of Postoperative Complications After Liver Transplants in Children. Pediatr Res 68 (Suppl 1), 34–35 (2010). https://doi.org/10.1203/00006450-201011001-00062
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DOI: https://doi.org/10.1203/00006450-201011001-00062
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