(1) Post-operative liver transplant patients require intensive care to stabilize organ systems and monitor graft function and complications. Continuous monitoring of hemodynamics is important to ensure adequate perfusion. (2) Pulmonary support is often needed until patients can breathe independently. Infections are common. Hepatic function is closely tracked through labs and imaging. Primary non-function or thrombosis are serious complications. (3) Electrolytes, glucose, nutrition, and infection surveillance all require close attention. Sepsis is a major risk, so cultures are important for any fever. Immunosuppression aims to prevent rejection while avoiding side effects.

1. Post Operative ICU Management of Orthotopic Liver Transplant Patients S/P Chronic Hepatic Failure Dr. Ahmad Kharrouby PGY2, Surgery Surgical Intensive Care Unit

9. A-Hemodynamic

14. B-Pulmonary

16. C-Hepatic allograft function

29. hepatic artery thrombosis, particularly early after transplantation when the allograft is devoid of arterial collaterals, results in selective necrosis of the Biliary tree and surrounding connective tissue

30. Typical appearance of a liver allograft that failed because of hepatic artery thrombosis leakage of bile

35. D-Electrolytes, glucose, and lactate

41. E-GI tract

43. F-Nutrition

46. G-Infection surveillance

53. H-Posttransplantation Immunosuppression

55. I-Kidney dysfunction

58. J-Abdominal Compartment Syndrome

61. Thank You