id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-016135-44pgjah8	Sen, Ayan	Postoperative Management of Composite Tissue Graft Transplantation	2016-06-03		.txt	text/plain	2618	160	42	In this chapter, we will discuss general and specifi c postoperative management of patients following CTA. Face transplantation is a complex and long surgery that is associated with signifi cant perioperative challenges, and multiple postoperative complications. Postoperative severe graft edema is expected in most patients and head elevation at 30-45° will promote venous drainage and prevent VAP [ 1 ] . The most severe infections occur during times of over-immunosuppression, such as the induction phase or management of acute rejection. Maintenance immunosuppression involves a regime of tacrolimus, mycophenolate mofetil, and prednisone, and must be closely followed up for the duration of the patient's or allograft's life. The fi rst hand transplant recipient lost his graft due to rejection from noncompliance. Management of graft failure involves amputation followed by use of prosthesis or another transplant. Helping hands: caring for the upper extremity transplant patient	./cache/cord-016135-44pgjah8.txt	./txt/cord-016135-44pgjah8.txt