Peri-operative Anesthetic Management in Liver Transplantation

1.History of liver transplantation - Indian perspective2.Physiological role of liver & interpreting liver function tests3.Pathophysiology of chronic liver disease4.Pharmacokinetics & Pharmacodynamics of drugs in liver disease5.Surgical anatomy of the liver6.Non-transplant surgery for pre-transplant cirrhotic7.Viral markers and their relevance in liver disease and transplantation8.Indications and contraindications for liver transplantation9.Disease Severity Scoring System in Chronic Liver Disease10.Pre-operative assessment and optimization of liver transplant patients - Ascites, Hydrothorax11.Pre-operative assessment and optimization of liver transplant patients - Cardiac issues in liver disease12.Pre-operative assessment and optimization of liver transplant patients - Renal issues in liver disease13.Pre-operative assessment and optimization - of liver transplant patients - Pulmonary issues in liver disease14.Pre-operative assessment and optimization of liver transplant patients - Coagulation issues15.Pre-operative assessment and optimization - of liver transplant patients - Nutrition16.Intra-operative management of transplant recipient - An overview17.Intra-operative monitoring - Hemodynamic monitoring in liver transplant surgery18.Intra-operative monitoring - Coagulation monitoring in liver transplant surgery19.Ischemia reperfusion injury20.Intra-operative fluids in liver transplant surgery21.Role of vasopressors in liver transplant surgery22.Minimizing blood loss in recipient surgery - Antifibrinolytics/ Cell saver/ VVB/ Pringle and Surgical techniques23.Venovenous bypass (VVB) in liver transplantation24.Role of ECMO in Liver Transplant25.Intra-operative complications and management - Air embolism, Surgical/ Medical haemorrhage, GI bleed, Intra-operative Oliguria, Refractory hypotension, Arrhythmias26.Peri-operative assessment & management of live donor for donor hepatectomy27.Brain Death and Organ Donation28.Management of deceased donor for organ

Dr Vijay Vohra is Chairman, liver transplant, GI anesthesia and intensive care at Medanta The Medicity, Gurgaon, India. He has 37 years' experience in anesthesiology after qualification. He headed the team that established liver transplant anaesthesia and critical care at two major centres in India (SGRH and Medanta). He has 5 years' experience as Vice-Chairperson in policy making and running a large department of 40 anesthetists. Dr Vohra has imparted training in transplant anesthesia to visiting / fellow anesthetists and intensivists from 26 centres within India and abroad in the last 10 years. He has an experience of nearly 3000 liver transplants - among the highest anywhere. Dr Vohra is first in India to develop and introduce hemodynamic and coagulation monitoring protocol for bloodless liver transplant. He headed the anesthesia team that participated in almost all the firsts in liver transplantation in India. He has been a DNB teacher for 17 years. Dr Vohra has special expertise in anaesthesia in liver transplant, kidney transplant, GI surgery and vascular surgery. He is regularly invited as faculty to national and international conferences.

Dr Nikunj Gupta is a Diplomate in National Board (DNB) qualified anesthesiologist and has an experience of over 20 years in the specialty. He has been involved in the care of liver transplant patients for nearly 18 years. For the last 12 years, he been practicing peri-operative care of liver transplant patient at Medanta The Medicity, Gurgaon, India. He has been involved in the training of fellows admitted for liver transplant anesthesia at Medanta The Medicity.


Dr Annu Sarin Jolly has over twenty years of experience as a consultant anesthesiologist in leading multi-specialty hospitals of Delhi, India. Her area of interest is liver transplantation. She trained at the best centers of Delhi like Apollo, Sir Ganga Ram Hospital and Medanta, and