Mod13: Anesthesia for Organ Transplantation Flashcards
Anesthesia for Organ Transplantation
Which organization coordinates all the nation’s organ transplant systems?
UNOS
United Network for Organ Sharing
They meet the needs of persons waiting for a life saving organ tpx
Non-profit; based in Richmond, VA
Members are every tpx hospital, tissue matching lab, Organ procurement organization
All data are centrally located - Allows to quickly match available organs to recepients
Minimizes time from procurement to transplantation; this decreases post tranplant morbidity and mortality
Anesthesia for Organ Transplantation - Organs
What is the only organ that cannot be functionally supported or replaced, and therefor cannot be transplanted at this time?
The brain
Anesthesia for Organ Transplantation - Organs
True or False - All vital organs: Heart, Lung, Liver and Kidney, can be supported by technology or replaced by transplantation; except the brain.
True
Anesthesia for Organ Transplantation - Transplantation
Which areas of transplantation surgery are the most affected by the quality of the anesthetic management?
Quality of the graft organ
Viability of the transplanted graft
Long term survival of the transplant recipient
Become familiar with not only what you should be doing during a normal kidney tpx (for example), but also what’s expected from the surgical team and from the anesthesia team at that institution
Anesthesia for Organ Transplantation - Transplantation
True or False: Training in organ transplantation is imperative
True
Training and becoming familiar with what’s expected of you will help that initial management
You could stay up to date on what some of the newer techniques are. If your protocol starts to change, you will know why
You will see improved outcome, the more comfortable you are as an anesthesia provider in doing those types of cases
Anesthesia for Organ Transplantation - Transplantation
True or False: According to data from UNOS, the number of organs being transplanted is increasing
True
Anesthesia for Organ Transplantation - Transplantation
Which thoracic organs may be transplanted?
Heart (from a deceased donor)
Lung (from a deceased or living donor)
Heart & Lung (from a deceased donor)
Anesthesia for Organ Transplantation - Transplantation
Which abdominal organs may be transplanted?
Kidney (from a deceased or living donor)
Liver (from a deceased donor, or living donor for partial liver)
Kidney & Liver (from a deceased donor)
Pancreas (from a deceased donor only)
Intestine (from a deceased donor only)
Anesthesia for Organ Transplantation - Transplantation
Besides thoracic and abdominal organs, which other body structures may be transplanted?
Tissue, cells, corneas, stem cells, bone marrow
There are many different transplants happening now
As technonology gets better, we will see even more types or combined transplants occuring
Anesthesia for Organ Transplantation - Transplantation
How many organs were transplanted from 1988 to 2015?
500,000
Anesthesia for Organ Transplantation - Transplantation
Number of Transplantations from the highest to lowest
Kidney>Liver>Heart>Lung>Kidney+Pancreas>Pancreas>Intestine>Heart+Lung
Anesthesia for Organ Transplantation - Transplantation
What’s the major organ the most transplanted?
Kidney
Anesthesia for Organ Transplantation - Transplantation
What is the most transplanted body structure?
Cornea
Organ Transplantation
How much does an organ transplant cost?
Isolated Small Bowel Transplant - $350,000
Heart/Lung - $300,000 to $350,000
Heart - $300,000
Bone Marrow - $250,000
Liver - $250,000
Lung - $200,000 to $250,000
Kidney/Pancreas - $150,000
Pancreas - $100,000
Kidney - $75,000 to $100,000
Organ Transplantation
What is most perfected organ transplant? and how much does it cost?
Kidney - $75,000 to $100,000
