{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T21:47:29Z","timestamp":1764020849666,"version":"3.40.4"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background.<\/jats:title>\n Perioperative management practices in liver transplantation (LT) evolve very quickly. There are few specific recommendations, often based on a low level of evidence, resulting in wide heterogeneity of practices.<\/jats:p>\n <\/jats:sec>\n \n Methods.<\/jats:title>\n We performed a survey in all 16 French centers in 2021 by focusing on center organization, preoperative cardiovascular assessment, antimicrobial prophylaxis, hemostasis management, intraoperative use of hemodynamic monitoring and renal replacement therapy, immunosuppression, and postoperative prevention of arterial complications and compared it with current recommendations.<\/jats:p>\n <\/jats:sec>\n \n Results.<\/jats:title>\n The organization of perioperative LT care involved 1 single team throughout the perioperative LT process in 7 centers (43.7%). The coronary evaluation was systematic in one-third of the centers and guided by risk factors in the other centers. Antibiotic prophylaxis was strictly intraoperative in only 7 centers (44%). Antifungal prophylaxis targeting high-risk LT recipients was administered in 15 centers (93%). Intraoperative coagulation assessment was based on standard coagulation tests in 8 centers (50%), on viscoelastic assays in 4 centers (25%), and both methods in 4 centers (25%). Hemodynamic monitoring practices greatly varied between centers.<\/jats:p>\n Concerning immunosuppression, molecules and dosages were heterogeneous. Aspirin was systematically administered in one-third of cases (6 centers; 37.5%). Of the 21 recommendations tested, the concordance rate was 100% for 3 recommendations and <50% for 7 recommendations.<\/jats:p>\n <\/jats:sec>\n \n Conclusions.<\/jats:title>\n Our study precisely describes French practices regarding LT in perioperative care and highlights the paucity of data in this setting, leading to very weak recommendations that are poorly followed in LT centers.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/tp.0000000000005264","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T13:00:07Z","timestamp":1741784407000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Perioperative Management During Liver Transplantation: A National Survey From the French Special Interest Group in \u201cLiver Anesthesiology and Intensive Care\u201d"],"prefix":"10.1097","author":[{"given":"Pauline","family":"Devauchelle","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, H\u00f4pital Beaujon, AP-HP, Clichy, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Bignon","sequence":"additional","affiliation":[{"name":"CHU Lille, Surgical Critical Care and Hepatic Transplant Unit, Department of Anesthesia Critical Care and Perioperative Medicine, Lille, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaure","family":"Breteau","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Surgical Intensive Care Unit, Tours University Hospital, Tours, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myl\u00e8ne","family":"Defaye","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Bordeaux University Hospital, Pessac, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurianne","family":"Degravi","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Unit, Regional University Hospital of Montpellier, St-Eloi Hospital, University of Montpellier, Montpellier, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cyrielle","family":"Despres","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Minjoz Hospital, Besan\u00e7on University Hospital, Besan\u00e7on, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Godon","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, University of Grenoble Alpes, Grenoble Alpes University Hospital, Grenoble, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renaud","family":"Gu\u00e9rin","sequence":"additional","affiliation":[{"name":"Service De R\u00e9animation Adultes, Unit\u00e9 de Soins Continus et Unit\u00e9 de Transplantation H\u00e9patique, p\u00f4le MPO, CHU Estaing, Clermont-Ferrand, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Lavayssiere","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Department of Transplantation, Rangueil University Hospital, Toulouse, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Lebas","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Intensive Care and Perioperative Medicine, Hautepierre Hospital, Strasbourg University Hospital, Strasbourg, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axelle","family":"Maurice","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019Anesth\u00e9sie r\u00e9animation chirurgicale, CHU Pontchaillou, Rennes, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00e9ment","family":"Monet","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Unit, Regional University Hospital of Montpellier, St-Eloi Hospital, University of Montpellier, Montpellier, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Monsel","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9-INSERM UMRS_959, Immunology-Immunopathology-Immunotherapy, Paris, France."},{"name":"Biotherapy (CIC-BTi), La Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Greater Paris University Hospitals, Paris, France."},{"name":"UMRS-938, Research Center of Saint-Antoine (CRSA), Sorbonne University, Paris, France."},{"name":"Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Greater Paris University Hospitals, Sorbonne University, Paris, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Reydellet","sequence":"additional","affiliation":[{"name":"Service d\u2019Anesth\u00e9sie-R\u00e9animation, R\u00e9animation Polyvalente et Pathologie du Foie, APHM, C.H.U. Timone, Marseille, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phanie","family":"Roullet","sequence":"additional","affiliation":[{"name":"D\u00e9partement d\u2019Anesth\u00e9sie R\u00e9animation, H\u00f4pital Paul Brousse, Assistance Publique\u2013H\u00f4pitaux de Paris, Universit\u00e9 Paris-Saclay, Villejuif, France."},{"name":"Universit\u00e9 Paris-Saclay, INSERM, H\u00e9mostase Inflammation Thrombose HITH U1176, Le Kremlin-Bic\u00eatre, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romain","family":"Rozier","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, University of C\u00f6te d\u2019Azur, University Hospital Archer 2, Nice, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9line","family":"Guichon","sequence":"additional","affiliation":[{"name":"Service d\u2019Anesth\u00e9sie-R\u00e9animation, H\u00f4pital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Weiss","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Universit\u00e9 de Paris, H\u00f4pital Beaujon, AP-HP, Clichy, France."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"for the French Special Interest Group \u201cLiver Anesthesiology and Intensive Care\u201d","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2024,11,6]]},"reference":[{"key":"R1-20250412","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S2468-1253(22)00268-0","article-title":"Enhanced recovery for liver transplantation: recommendations from the 2022 International Liver Transplantation Society consensus conference.","volume":"8","author":"Pollok","year":"2023","journal-title":"Lancet Gastroenterol 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