test 8 liver transplant selection

Question 1

Liver Transplants general guidelines

Answer 1

 Any patient with a chronic or acute liver disease who is unable to sustain normal quality of life or patients with serious complications related to the underlying liver pathology should be considered.

Question 2

Evaluation of Severity for liver transplant

Answer 2

 Encephalopathy
 Ascites
 Recurrent GI Bleeding
 Severe Fatigue
 Early stage primary liver tumor
 Others…

Question 3

Liver Transplants Selection

Answer 3

 Do they need the transplant?
 Can they sustain the operation?
 Is there a risk of recurrence?
 MELD score
 Model for End-Stage Liver Disease
 Indicates how urgently they need the organ
 Committee meeting to decide eligibility

Question 4

Liver transplant distribution

Answer 4

 Common criteria:
 Blood type
 Body size
 Distance
 Not as big of a deal
 Can be outside the body for 12-15 hours – TRAVEL FARTHER!
 Availability of recipient
 MELD Score
 Highest MELD score gets first offer
 If rejected, goes to next highest MELD score