Learning objectives:
- Update the audience on recent advances in extracorporeal membrane oxygenation (ECMO), lung transplantation, and robotic kidney transplantation.
- Update the audience on new approaches in the assessment and perioperative management of patients with acute liver failure.
- Recognize the importance of a multidisciplinary approach to liver transplantation, including Enhanced Recovery After Surgery (ERAS) protocols and psychiatric optimization during the preoperative workup.
- Review current evidence and evolving perspectives on alcohol-associated hepatitis and its implications for liver transplantation candidacy and outcomes.
- Update the audience on the principles, procedural steps, and clinical benefits of using normothermic regional perfusion in donation after circulatory death.
Target audience:
Transplant anesthesiologists, intensivists, transplant surgeons, hepatologists, cardiologists, residents, and fellows
Accreditation and CME credit designation:
SATA (The Society for the Advancement of Transplant Anesthesia), University of Pittsburgh Medical Center. https://cce.upmc.com.
10:00-10:30 Registration/Coffee
10:30-10:45 Introduction/Welcome: Uzung Yoon, MD (Thomas Jefferson University Hospital) /
10:45-11:45 Session 1: Preoperative issues in Organ Transplantation
Moderator: Sergio Navarrete, MD (Virginia Commonwealth University)
- ERAS in Living Donor Liver Transplantation – Matt Mattera, MD (Anesthesiology, University of Pennsylvania)
- Normothermic Regional Perfusion for DCD organs (liver, heart, lungs). Eric Strauss, MD (Anesthesiology, University of Maryland)
- Pre Lung Transplant RVAD with Oxygenator vs. VV ECMO – Audrey Spelde, MD (Anesthesiology, University of Pennsylvania)
- Robotic kidney transplant – Chandra Bhati, MD (Surgery, University of Maryland)
11:45-12:00 SATA President address – Lorenzo De Marchi, MD
12:00-1:00 Lunch Break
1:00-2:00 Session 2: Alcohol Hepatitis
Moderator: Andrew Gold, MD (University of Pennsylvania)
- Alcohol associated hepatitis management and transplant candidacy from preop ICU standpoint. To sick? – Niraj Agarwalla, DO, (Critical Care & Anesthesiology, VA Pittsburg Healthcare System)
- Alcohol hepatitis and liver transplantation – Update – Victor Chen, MD (Hepatology, Johns Hopkins University)
- Psychiatric considerations in the perioperative transplant patient – Keira Chism, MD (Psychiatry, Thomas Jefferson University)
- Hepatocellular Carcinoma and Cholangiocarcinoma- an update – Amy Kim MD (Hepatology, Johns Hopkins University)
2:00-2:15 Coffee Break
2:15-3:15 Session 3: Cardiac considerations and others
Moderator: Mark Kim, MD (Thomas Jefferson University)
- Aortic stenosis in liver transplantation candidates: when to intervene. – Adam Setren, MD (Anesthesiology, Thomas Jefferson University, Einstein Hospital)
- Cirrhotic cardiomyopathy – Rishi Kothari, MD (Anesthesiology, Thomas Jefferson University)
- Liver transplantation donor center – Ian Oppenhaim, MD (Critical care & Pulmonology, MedStar Georgetown University)
3:15-3:30 Closing Remarks: President: Lorenzo De Marchi, MD