Clinical Procedure
 
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Intrapulmonary and extrapulmonary shunts may develop in the lung in association with portal hypertension. Resultant right-to-left shunt can cause severe hypoxia & risk of air embolism during transplantation

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Of particular interest to the anaesthetist is the TTE,FBE,UEC,and Coags.
Patients with multiple previous surgeries may have difficult intravenous access and organising an ultrasound of the neck vessels may help the anaesthetist on the day plan their anaesthetic.

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2 upper limb IV lines

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Patients that are TPN dependent (eg biliary atresia) will often have vascular access issues.

Repeated episodes of thrombosed central lines means that choice of central venous access points will be limited.

Vascular access studies may have been performed as part of their workup for liver transplant.

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2 arterial lines.
One for monitoring, one for sampling

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1
Primary nonfunctioning graft or a dysfunctioning graft can be detected early by a delayed return of TOF, consider PGE1 as an infusion in an effort to resuscitate the graft. www.centerspan.org/pubs/liver/

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