id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-005717-x7gsqlwp	Hauser, Gabriel J.	Pediatric intestinal and multivisceral transplantation: a new challenge for the pediatric intensivist	2008-05-24		.txt	text/plain	5190	260	29	RESULTS: Preoperative management focuses on optimization of organ function, minimizing ventilator-induced lung injury, preventing excessive edema yet maintaining adequate organ perfusion, preventing and controlling sepsis and bleeding from varices at enterocutaneous interfaces, and optimizing nutritional support. Critical care immediately after intestinal transplantation (Table 2) is influenced by the overall state of health of the patient at the time of surgery, specific organs included in the composite graft, hemodynamic stability in the operating room, and immediate graft function. Patients with multivisceral transplants usually remain intubated for several days, particularly when large graft size mandates delayed abdominal closure (Table 3) , however, the priority must be early extubation to reduce the risk of ventilator-associated pneumonia. When the primary indication for transplantation is declining central vein access, patients that are managed by a competent intestinal failure team usually present with appropriate nutritional status. Pre-transplant nutritional management of patients who are in both liver and intestinal failure is more challenging [40] .	./cache/cord-005717-x7gsqlwp.txt	./txt/cord-005717-x7gsqlwp.txt