Deep Breaths

S8 Ep. 8: The long and winding road, part 1 (Anaesthesia for post-heart-transplant patients)

Deep Breaths Season 8 Episode 8

Today, in part 1 of our 2 part series on anaesthesia for previous heart transplant recipients, we discuss the care of these patients for non-cardiac surgery with special guest, Dr Ivan Rapchuk.

We start our discussion with a review of how to assess whether these patients are suitable for elective surgery, and follow this with a deep-dive on the typical immunosuppressant medications that these patients may be taking,  as well as their mechanism of action and side effects.

Resources for this episode:

Oxford Handbook of Transplant Anaesthesia and Critical Care

BJAED: Anaesthesia for a patient with a cardiac transplant (2002) by Morgan-Hughes, N. & Hood, G.

Circulation (2004): Drug therapy in the heart transplant recipient by Lindenfeld, J. et al.

Indian Journal of Anaesthesia: Post cardiac transplant recipient: Implications for anaesthesia by M. Choudhury

RCEM India Learning - The ECG after cardiac transplantation

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