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KMID : 0356920180710010066
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Korean Journal of Anesthesiology
2018 Volume.71 No. 1 p.66 ~ p.70
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Anesthetic management of the first forearm transplantation in Korea
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Kwon Jin-Yeol
Jung Sung-Mee
Kim Sae-Yeon
Kwon Nyeong-Keon
Park Sang-Jin
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Abstract
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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.
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KEYWORD
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Anesthesia, Fluid therapy, Forearm, Graft survival, Vascularized composite allotransplantation
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