Nursing Care for Children with ABO-Incompatible Living Donor Liver Transplantation in a Pediatric Intensive Care Unit


  • Thitima Watthanasereewetch Faculty of Medicine, Ramathibodi Hospital, Mahidol University.


ABO-incompatible liver transplantation, critically ill pediatric patient, pediatric nursing


               Liver transplantation is an effective treatment for chronic and acute liver failure in children. However, liver transplantation faces the difficulty of a lack of blood groups with matching donors, which leads to cross blood group liver transplants from living donors to maintain liver function. Pediatric patients undergoing cross-blood liver transplantation need to be admitted to a pediatric intensive care unit to monitor symptoms and complications such as bleeding; liver rejection; biliary complications; infection; pain and discomfort. Also included are administering immunosuppressive drugs and promoting family engagement in patient care. Nurses can play an integral role in preoperative care and postoperative care until the patient’s clinical signs are stable and they are discharged from the intensive care unit. Hence, this article reviewed the knowledge about ABO-incompatible living donor liver transplantation in children and complications, along with nursing care for pre-operation, post-operation, and case study. This could help patients receive continuing treatment and have a better quality of life.


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