The transplant anesthesia team cares for both transplant recipient and donor adult and pediatric patients at the Hershey Medical Center. We provide anesthesia care for liver, pancreas and kidney transplantations for both live-donor-related and not-living-donor transplant procedures. For cases of live-donor-related organ transplantation (for example, a kidney from a parent to their child, or part of a liver from one relative to another), we provide anesthesia care for the donor as well as the recipient. The anesthesia team works closely with the transplant surgeons to provide quality, world-class care for all transplant patients.
Does the transplant patient meet with the transplant anesthesia team before the transplant operation?
Is special training required to provide anesthesia for a transplant procedure?
How long does a transplant operation take?
Does a patient lose a lot of blood during a transplant operation?
Patients undergoing an organ transplant very frequently need transfusions of blood and blood products (for example, plasma). Liver transplant recipients, especially, very often need transfusions due to compromised coagulation. Currently, blood products undergo very strict controls by blood banks to rule out possible infections. The risk for blood transmitted diseases or a transfusion of mismatched blood products is absolutely minimal.
How long after the transplant operation will the patient wake up from anesthesia?
Depending on the situation, the patient is sometimes woken up immediately after surgery while still in the operating room. In other cases, the patient is taken to the post-anesthesia care unit (PACU) or intensive care unit (ICU), where they are closely monitored and woken from anesthesia. The patient will stay on monitors in the PACU or ICU until they are stable, at which time they are transferred to a regular hospital room.
How is postoperative pain managed for a transplant recipient or donor?
Immediately following the operation, the staff in the post-anesthesia care unit (PACU) monitors the patient’s pain. They provide the treatment necessary to insure that the patient is as comfortable as possible. Once the patient is transferred from the PACU to a hospital room, the nurses and the Anesthesia Acute Pain Management Team monitor the patient closely to provide pain medication as needed. If the patient is transferred from the operating room directly to the intensive care unit (ICU), the ICU team provides pain management.
Is it possible to use an epidural catheter for pain relief after transplantation?