Context and settingThe success of the hepatic transplant team depends on the entire surgical teamincluding the anaesthesiologist -having a minimum of experience and skill. Why the idea was necessary We did not find any studies evaluating a training protocol for anaesthesia management during liver transplantation in a porcine model. Our objective is to demonstrate that a period of training in anaesthesia management during liver transplant improves the diagnosis and management of critical situations during this anaesthetic procedure. What was done Five trainees underwent a training programme and evaluation, anaesthetising five pigs each. Surgery entailed caval cross-clamping under total balanced anaesthesia.Previously published criteria 1 were used to assess the trainees' performance. These criteria considered their capability to maintain the stability of blood pressure, cardiac output, ion levels, heart rate and acid-base balance. Trainees were evaluated at different time-points, including: at baseline; in the pre-anhepatic phase; in the anhepatic phase, and in the neohepatic phase. The trainees completed a survey to assess the adequacy of the pig model for this training. Evaluation of results and impact Our model enabled relevant physiological changes that take place during liver transplantation to be addressed. Despite having received theoretical training, during the training the students were unable to correct and manage these changes in the first experimental animal without being instructed by the teaching staff. However, the last animal to be treated by the students (the fifth animal) was managed very safely and efficiently, as was demonstrated by the students' ability to maintain the haemodynamic, metabolic and ionic parameters outlined in this work within acceptable ranges. 1 A very favourable evolution in learning about anaesthesia management during liver transplant was seen in this group of students. The quality indicators measured showed substantial progress from the first animal to the fifth in learning this technique.The training of anaesthesiology specialists in anaesthesia management during liver transplantation will ensure that the anaesthesia team is properly trained to carry out this type of anaesthetic procedure in human medicine and will avoid the need for the anaesthesiologist to learn from errors committed in the human clinic. REFERENCE 1 Donabedian A.
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