Intensive Care of Pulmonary Complications Following Liver Transplantation

J Intensive Care Med. 2018 Nov;33(11):595-608. doi: 10.1177/0885066618757410. Epub 2018 Mar 18.

Abstract

Chronic liver disease has been associated with pulmonary dysfunction both before and after liver transplantation. Post-liver transplantation pulmonary complications can affect both morbidity and mortality often necessitating intensive care during the immediate postoperative period. The major pulmonary complications include pneumonia, pleural effusions, pulmonary edema, and atelectasis. Poor clinical outcomes have been known to be associated with age, severity of liver dysfunction, and preexisting lung disease as well as perioperative events related to fluid balance, particularly transfusion and fluid volumes. Delineating each and every one of these pulmonary complications and their associated risk factors becomes paramount in guiding specific therapeutic strategies.

Keywords: atelectasis; intensive care; liver transplantation; pleural effusions; pneumonia; pulmonary complications; pulmonary edema; risk factors.

Publication types

  • Review

MeSH terms

  • Critical Care*
  • Humans
  • Kidney Failure, Chronic / surgery
  • Liver Transplantation / adverse effects*
  • Lung Diseases / diagnosis*
  • Lung Diseases / therapy*
  • Pleural Effusion / diagnosis
  • Pleural Effusion / therapy
  • Pneumonia / diagnosis
  • Pneumonia / therapy
  • Postoperative Complications / diagnosis
  • Postoperative Complications / therapy
  • Preoperative Care
  • Pulmonary Atelectasis / diagnosis
  • Pulmonary Atelectasis / therapy
  • Pulmonary Edema / diagnosis
  • Pulmonary Edema / therapy
  • Risk Factors