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Intraoperative patient safety during liver transplantation: integrative review

Abstract

Objective

To analyze the scientific evidence that supports safe intraoperative liver transplantation practices.

Methods

Integrative literature review within six databases. The review followed six steps: development of the research question; definition of criteria for searching the literature; data collection; critical analysis of the material obtained; evaluation and interpretation of information; and, presentation of the results obtained.

Results

A total of 511 publications were identified, 16 of which were included for analysis, considering the inclusion and exclusion criteria. Evidence supporting safe liver transplantation practices was presented in the following categories: Hypothermia-related care, Recommendations for early extubation, Blood component transfusion, and, Anesthesia protocol.

Conclusion

The evidence found in the integrative review provides support for development of a safe surgery checklist related to liver transplantation.

Intraoperative period; liver transplantation; Patient safety; Checklist

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