A. Personnel

Click on our Personnel section for details.

B. Philosophy of Liver Transplantation Services at Auckland Hospital

See the "Mission Statement" subsection for details

C. Recipient Selection

1. Guidelines for access to liver transplantation
2. Guidelines for assessment of potential liver transplant recipients
3. Respiratory investigations
4. Cardiac investigations
5. Tumour assessment protocol

D. Management of Acute Liver Failure

1. Introduction
2. Information Description
3. Terminology
4. Guidelines for Referral of Patients with Acute Liver Failure
5. Mechanisms for Referral of Patients with Acute Liver Failure
6. Arrangements for Safe Transport
7. Assessment - Immediate In-house Assessment
8. Responsibility for Clinical Care
9. Overall Strategic Principles

E. Management of Complications of Chronic Liver Disease

1. Bleeding complicating portal hypertension
2. Ascites And Spontaneous Bacterial Peritonitis
3. Chronic Encephalopathy
4. Hepatorenal Syndrome
5. Malnutrition

F. Donor Selection, Management and Co-ordination

1. Donor Selection
2. Legal Issues
3. Donor Management
4. Donor Co-ordination


G. Donor Surgery

1. Anaesthesia
2. Procurement Equipment
3. Procurement Procedure

H. Immediate preoperative evaluation

I. Recipient Surgery

J. Anaesthetic Care

1. General Information
2. Preoperative Organisation
3. Call Information
4. Preparation for Anaesthesia
5. Anaesthetic Procedure

K. Recipient Care: Post-operatively in ICU

1. Introduction
2. Information Description
3. Handover from the Or Team to the DCCM Team
4. Immediate Assessment in DCCM
5. Standard Intensive Care Support
6. Instrumentation

L. Recipient Care: Post-operatively in the Transplant Unit (7B)

1. Transfer from DCCM
2. On Arrival at 7B

M. Recipient Care: Post-dismissal

Guidelines for the immediate discharge period and followup care for Liver Transplant Recipients

N. Immunosuppression

1. Primary Immunosuppression
2. Protocol for Switching to Neoral
3. Adjuvant Immunosuppression

O. Infection prophylaxis

1. Introduction
2. Non-Absorbable Antimicrobials (Selective Gut Decontamination)
3. Intravenous Antibiotics
4. Antifungal Prophylaxis
5. PCP Prophylaxis
6. Antiviral Agents
7. Prophylaxis

P. Treatment of Established Infection

Q. Hypertensive Management

R. Diabetes Management

S. Nutrition Management

T. Transfusion Services Procedures

1. General Note
2. CMV Seronegative Products
3. Justification for Blood Product Usage

U. Pathology Procedures

1. Liver Biopsies
2. Histology Protocol
3. Every Liver Biopsy
4. Tissue Bank

V. Radiology Procedures

1. Pre-operative Transplant Recipient Evaluation
2. TIPSS Assessment
3. Post-operative Sonographic Evaluation in OLTX

W. Data collection/Reporting procedures (NZLTAG)

X. Research