Korean J Anesthesiol.  2018 Feb;71(1):66-70. 10.4097/kjae.2018.71.1.66.

Anesthetic management of the first forearm transplantation in Korea

• Kwon J
• Jung SM
• Kim SY
• Kwon NK
• Park SJ

• KMID: 2402915
• DOI: http://doi.org/10.4097/kjae.2018.71.1.66

Abstract

Vascularized composite allotransplantation for the forearm is a complex surgical procedure, requiring multidisciplinary collaboration. It is important to provide optimal blood flow to the grafts, effective immunosuppression, and early rehabilitation for graft survival and good functional outcomes. As ischemia-reperfusion injury and substantial but unquantifiable blood loss are inevitable in this type of surgery, anesthetic management should focus on providing adequate hemodynamic management with proper monitoring, and anesthetic and analgesic strategies to prevent vasoconstriction in the graft. In this paper, we describe the anesthetic management of the first forearm transplantation performed in Korea.

Keyword

Anesthesia; Fluid therapy; Forearm; Graft survival; Vascularized composite allotransplantation

MeSH Terms

Anesthesia
Cooperative Behavior
Fluid Therapy
Forearm*
Graft Survival
Hemodynamics
Immunosuppression
Korea*
Rehabilitation
Reperfusion Injury
Transplants
Vascularized Composite Allotransplantation
Vasoconstriction