Transoesophageal echocardiography (TEE) optimises the anaesthetic management of highly complex patients of Liver transplantation. Liver transplantation (LT) or hepatic transplantation is a life-saving procedure for patients with end-stage liver disease which are not responsive to other medical treatment. Many transplant candidates die on the waiting list because of the marked shortage of donor organs.
In order to reduce waiting list, organ allocation is based on the Model of End-Stage Liver Disease (MELD). This score prioritizes allocation to the sickest patients, and for this reason, patients undergoing LT today have more severe end stage liver disease (ESLD), are older (> 60 years), and are more complex regard both their comorbidity burden and their risk for perioperative complications. The patient’s first examination will confirm his status as a LT candidate, and intraoperative…
