Perioperative Care in Liver Transplantation
LICAGE 2010
23-24 SEPTEMBER
OPERA PRIMAZIALE, PISA, ITALY
PERIOPERATIVE CARE IN LIVER TRANSPLANTATION:
UPDATE AND DEBATE
LICAGE Organising Committee Co-Chairs
Gianni Biancofiore, Pisa
John Klinck, Cambridge
Italian Organising Committee
Franco Filipponi, Professor and Head of Liver Transplantation, University School of Medicine, Pisa
Francesco Giunta, Professor and Head of Anaesthesia and Critical Care,University School of Medicine, Pisa
Giorgio Della Rocca, Professor and Head of Anaesthesia and Critical Care,University School of Medicine, Udine
Alberto Pasetto, Professor and Head of Anaesthesia and Critical Care,University School of Medicine, Modena
Stefano Faenza, Professor and Head of Anaesthesia and Critical Care for Liver Transplantation,University School of Medicine, Bologna
Andrea De Gasperi, Head of Anaesthesia and Critical Care, Ospedale Niguarda, Milano
Invited Faculty / Scientific Advisory Committee
Philip Bayly, Newcastle
James Bennett, Birmingham
Christophe Camus, Rennes
James Findlay, Rochester
Ari Ercole, Cambridge
Luciano Gattinoni, Milan
Davide Ghinolfi, Pisa
Klaus Gorlinger, Essen
Paolo Grossi, Varese
Olaf Guckelberger, Berlin
Kerry Gunn, Auckland
Can Ince, Rotterdam
Claus-Georg Krenn, Vienna
Alistair Lee, Edinburgh
Susan Mallett, London
Susan Mandell, Denver
Marco Marietta, Modena
Pilar Morales, Valencia
Claus Niemann, San Francisco
Mike Ramsay, Dallas
Marco Ranieri, Torino
Gemma Rodriguez, Valencia
Franco Ruberto, Rome
Fuat Saner, Essen
Marco Senzolo, Padua
Randolph Steadman, Los Angeles
Armando Tripodi, Milan
Gebhard Wagener, New York
Ann Walia, Nashville
Yatin Young, Auckland
Gamal Fouad S Zaki, Cairo
PROGRAMME
THURSDAY 23 SEPTEMBER
08:15 Welcome G. Biancofiore
08:20 – 10:30 Cardiovascular update Chairs: P Bayly, A De Gasperi
- Cirrhotic cardiomyopathy and dysautonomia
Susan Mandell, Denver
- Cardiovascular events and outcomes
Olaf Guckelberger, Berlin
- Controversies in preoperative evaluation: testingand selection
James Findlay, Rochester
- Management of ischemic and valvular disease at UCLA
Randolph Steadman, Los Angeles
- Monitoring: TEE,PAC, new modalities
Giorgio Della Rocca, Udine
10:30-11:00 Coffee Break
11:00 – 12:15 Respiratory update Chairs: G Della Rocca, L Gattinoni
- Evaluating the potential recipient: the pulmonologist’s perspective
Pilar Morales, Valencia
- Hepatopulmonary syndrome: pathophysiology, diagnosis, outcomes
Susan Mandell, Denver
- Post-transplant respiratory complications
Marco Ranieri, Torino
12:15 – 12:45 Penelope Kaisserli Memorial Lecture: Introduction: G Biancofiore
Acute lung injury: diagnosis and management
Luciano Gattinoni, Milan
12:45-13:45Lunch
13:45 – 15:30 Topics in Surgery, Hepatology and Infectious Disease Chairs: R Steadman, G Rodriguez
- Liver transplantation for alcoholic liver disease: selection and outcomes
Marco Senzolo, Padua
- Liver implantation: techniques and challenges
Davide Ghinolfi, Pisa
- Arterial hypoperfusion in the transplanted liver
Olaf Guckelberger, Berlin
- Early bacterial infections
Fuat Saner, Essen
- Fungal infections in liver recipients
Paolo Grossi, Varese
15:30-16:00 Coffee Break
16:00 – 17:40 Perioperative fluids and transfusion
Chairs: J Klinck, C-G Krenn
- Volume resuscitation in cirrhosis: do different solutions make a difference?
Luciano Gattinoni, Milan
- Transfusion and the microcirculation
Can Ince, Rotterdam
- Vasoconstrictors during liver transplantation: why, when and which?
Gebhard Wagener, New York
- Analgesia, fluids and outcomes in liver resection
Yatin Young, Auckland
- Massive transfusion: what’s new?
Kerry Gunn, Auckland
18:00 – 18:30 LICAGE Business Meeting
20:00 – 23:00 CONGRESS DINNER
FRIDAY 24 SEPTEMBER
08:15 – 10:15 Coagulation updateChairs: M Ramsay, K Gunn
- Coagulation in end-stage liver disease: pathophysiology and monitoring
Armando Tripodi, Milan
- Factor concentrates: why should we use them in liver transplantation?
Klaus Gorlinger, Essen
- Plasma for coagulopathy: FFP vs SD-treated human plasma solution
Marco Marietta, Modena
- Operating room monitoring and management
Susan Mallett, London
- Hypercoagulation
Michael Ramsay, Dallas
10:15 - 10.45 Coffee Break
10.45 – 12:15 Basic Science and Physiology Chairs: C Niemann, J Findlay
- Measuring the microcirculation
Can Ince, Rotterdam
- Physics of arterial pressure monitoring and effects of vasopressors
Ari Ercole, Cambridge
- Perioperative renal injury: novel markers
Gebhard Wagener, New York
- Monitoring function in the transplanted liver
Claus-Georg Krenn, Vienna
12.15-13.15 Lunch
13:15 – 15:30 Special topics Chairs: G Wagener,S Mandell
- MARS dialysis in acute liver failure
Christophe Camus, Rennes
- Extracorporeal clearance of Lipid A: a novel therapy in sepsis
Franco Ruberto, Rome
- Hypoadrenalism in liver recipients
Stefano Faenza, Bologna
- Paediatric update
James Bennett, Birmingham
- Starting a liver transplant anesthesia service in a developing country
Gamal Fouad S Zaki, Cairo
- Data collection and quality improvementin liver transplantation
Ann Walia, Nashville
15:30-16:00Coffee Break
16.00 - 17.30 Interactive cases Chairs: P Bayly, R Steadman
Cases of special interest or educational value, presented in stages with key pauses before diagnostic or therapeutic decisions. Panel and audience input is invited (what would you do next?), as directed by the session chairs.
Erythropoietic Protoporphyria and acute liver failure
Alistair Lee, Edinburgh
Primary non-function: is there a role for hepatectomy?
Harendra Arora, Chapel Hill
Fulminant Wilson’s and Tetralogy of Fallot
Andreu Cueva Suller, Valencia
Liver resection in a high risk patient
Sundar Reddy, Iowa City
17:30 Closing remarks
President Secretary/Treasurer Scientific/Education Committee Chair
Dr Phil Bayly Prof Claus-Georg Krenn Dr Claus Niemann
Department of Anaesthesia Department of Anaesthesiology Department of Anesthesia and
FreemanHospital and General Intensive Care Perioperative Care, Department of
Newcastle MedicalUniversity Surgery, Division of Transplantation
UK Vienna, Austria University of California
San Francisco, USA