Anesthetic Management in Liver Transplantation

Trenches in Transplant Surgery · Jun 27, 2025 · 37m

Liver transplantation demands meticulous intraoperative management tailored to each surgical phase. By anticipating the typical hemodynamic changes in the pre-anhepatic, anhepatic, and neohepatic phases, the anesthesia and surgical teams at high-volume centers can proactively mitigate risks. In the pre-anhepatic phase, controlling bleeding (often by keeping CVP low and employing rapid transfusion protocols) and maintaining perfusion is paramount. In the anhepatic phase, preserving hemodynamic stability during IVC clamping (using piggyback techniques or veno-venous bypass if needed) and…