Adults with Liver Failure in the Intensive Care Unit

Alta hospitalar do paciente transplantado hepático: revisão integrativa

“…Still, they should know that basic hygiene care, food and fluid intake help to prevent these diseases. [1][2][3] The evidence point to the importance of the team making sure that this information is understood, given that, provided with this data, they will have the opportunity to prevent injuries, graft loss and readmissions. 1,12,16,17,20,21 Evidence of care in post-liver transplantation Wachholz LF, Knihs NS, Martins SR, Magalhães ALP, Brehmer LCF, Martins MS 2°) Recommendations for the use of medicines -promoting self-management and adherence to treatment.…”

“…On the other hand, patient and family anxious about the demand for care to be performed at home. 1,2 The demands of the team, patient and family reveal that, despite advances in the thematic of transplants, greater involvement and caution is required of all professionals in the face of hospital discharge, since several complications and unexpected difficulties can arise at home. The main complications may involve neurological, pulmonary, renal issues, opportunistic infections (pulmonary, herpes zoster, among others) and graft loss associated with rejection.…”

“…The main complications may involve neurological, pulmonary, renal issues, opportunistic infections (pulmonary, herpes zoster, among others) and graft loss associated with rejection. [1][2][3] Such problems and complications, when not prevented, identified and treated in a timely manner, can lead the patient to recurrent hospitalizations, other aggravations or even to death. 1 The survival of the patient and of the graft after LT is directly related to the prevention of possible complications in the postoperative period and adherence to treatment.…”

“…1 The survival of the patient and of the graft after LT is directly related to the prevention of possible complications in the postoperative period and adherence to treatment. 1,2 The possibility of these aggravations awakens in the team, patient and family the importance of monitoring, vigilance and planning of care when returning home. The need to provide information that can help these people to the new reality is an obligation of the multidisciplinary team, which must be managed and supervised by a professional nurse.…”

The experience of patients undergoing liver transplantation in the transition of care

“…O transplante hepático é considerado um procedimento complexo que demanda longo tempo de espera, com peculiaridades que contribuem com certo potencial de complicações, tais como: longo tempo cirúrgico, risco de sangramento, fase anepática, risco de reperfusão retardada do órgão, entre outras situações. Essa complexidade tem continuidade no pós--operatório imediato e mediato, quando há possibilidade de ocorrerem rejeições, sangramento, distúrbio hidroeletrolítico, distúrbio ácido-base, trombose da artéria hepática e mau funcionamento do enxerto (3) . Somam-se, ainda, as complicações advindas do pós--operatório tardio, em virtude das repercussões advindas da terapia imunossupressora, como rejeição, risco de infecções e o desenvolvimento de tumores, por conta da alteração imunológica necessária para a manutenção da vida do transplantado.…”