Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure

Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association; Organ Transplant Rehabilitation Committee of China Association Rehabilitation Medicine; Branch of Organ Transplantation Physician of Guangdong Medical Doctor Association

doi:10.3969/j.issn.1001-5256.2022.12.005

Volume 38 Issue 12

Dec. 2022

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Article Navigation > Journal of Clinical Hepatology > 2022 > 38(12): 2701-2708

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Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure

DOI: 10.3969/j.issn.1001-5256.2022.12.005

Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association,
Organ Transplant Rehabilitation Committee of China Association Rehabilitation Medicine,
Branch of Organ Transplantation Physician of Guangdong Medical Doctor Association

Research funding:

National Natural Science Foundation of China (81972286);

National Natural Science Foundation of China (81770648);

National Natural Science Foundation of China (81972151);

Gangdong Provincial Natural Science Foundation of China (2019A1515011106);

Gangdong Provincial Natural Science Foundation of China (2021A1515012382);

Gangdong Provincial Natural Science Foundation of China (2022A1515011919);

Guangdong Transplantation Medical Engineering Laboratory (A04097);

R & D projects in key fields of Guangdong Province (2019B020236003);

Five-Five Construction Project of The Third Affiliated Hospital of Sun Yat-sen University—National Bioengineering Research Center Cultivation Platform (WW201905〔2021〕)

Received Date: 2022-11-16
Accepted Date: 2022-11-30
Published Date: 2022-12-20

Abstract

Abstract

Acute-on-chronic liver failure (ACLF) can be cured by liver transplantation; however, perioperative complications still affect posttransplant outcomes. In recent years, early rehabilitation for critical illness, liver disease, and surgery have significantly improved organ reserve function, surgery tolerance, and postoperative quality of life. They could also be applied in the perioperative period of liver transplantation in patients with ACLF. Therefore, the Transplantation Immunology Committee of Branch of Organ Transplantation Physician of Chinese Medical Doctor Association, the Organ Transplant Rehabilitation Committee of China Association Rehabilitation Medicine, and the Branch of Organ Transplantation Physician of Guangdong Medical Doctor Association conducted a comprehensive review of rehabilitation in end-stage liver disease, critical illness and surgical patients by summarizing current evidence and best clinical practices and proposed a practice consensus on evaluation of cardiopulmonary and physical function, rehabilitation or physiotherapies, as well as the safety concerns in perioperative liver transplant recipients. It will be a valuable resource for hepatologists, transplant surgeons, and intensivists as they care for ACLF patients during transplantation.
- Acute-on-Chronic Liver Failure,
- Liver Transplantation,
- Perioperative Period,
- Rehabilitation,
- Evaluation,
- Intervention

Corresponding authors: YI Huimin, ylhmin@hotmail.com; YANAG Yang, yysysu@163.com; HU Xiquan, huxiquan@mail.sysu.edu.cn; CHEN Guihua, chgh1955@263.net

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Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure

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Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure

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