PPT-MELD Score, L isting for Liver Transplant, and Organ Allocation

Donna Ferchill RN BSN Clinical Nurse Manager Liver Transplant Program Cleveland Clinic Julie Plescia RN BSN CCTC Manager of Organ Services Lifebanc Objectives What is a MELD score. U. nusual Cases. . . . Ahmet. . Gurakar. , MD. . . Johns Hopkins School of Medicine. Medical Director, Liver Transplant Program . Jeff Halldorson M.D.. Associate Professor. Transplant Surgery. UCSD Department of Surgery. Liver Allocation Proceeds by “Sickest First” Principle. Acute “Fulminant” Liver Failure (Expected Lifespan <7 days without Transplantation). Bertus Eksteen. Aspen Woods Clinic and University of Calgary . Canada. Important considerations. Predicting timing to list for transplant. Risk of death without transplant. Year 1 liver transplant mortality 10-12%. Jagpreet Chhatwal. , . PhD,. 1,2. Sumeyye Samur, PhD. 1,2. Brian . Kues. , MS,. 3. . Turgay. Ayer, PhD,. 3. Mark S. Roberts, MD, MPP,. 3. Fasiha Kanwal, MD, MSHS,. 5,6 . Chin . Hur. , MD,. 1,2. What to Know and Recent Updates. Brett E. Fortune, MD, MSc. Assistant Professor of Medicine and Surgery. Yale School of Medicine . Yale-New Haven Transplantation Center. Case. MR is a 45 y.o. male with cirrhosis secondary to PSC and has features of decompensated cirrhosis including tense ascites, hepatic encephalopathy, and had a history of upper gastrointestinal bleeding. . Spring 2018. 2. Recent Policy Implementation: Automatic Approval of HCC Exceptions. Policy implemented . December 12, 2017. U. pper . limit of . AFP 1,000 . that is allowed for standard MELD . exception (may be treated, and if responds to below 500, also eligible). Spring 2018. 2. Recent Policy Implementation: Automatic Approval of HCC Exceptions. Policy implemented . December 12, 2017. U. pper . limit of . AFP 1,000 . that is allowed for standard MELD . exception (may be treated, and if responds to below 500, also eligible). Jennifer Guy, MD, MAS. Director, Liver Cancer Program. Transplant . Hepatologist. California Pacific Medical Center. 1. Liver Transplant Questions. Who needs a liver transplant for PSC?. What is a liver transplant?. Jessica Wen, M.D.. The Children’s Hospital of Philadelphia. Nov. 3, 2018. Objectives. P. rimary functions of the liver. I. ndications . for Liver . Transplant. P. rocess of liver transplant evaluation and listing. Milan Kinkhabwala, MD. Professor of Surgery . Director of Abdominal Transplantation. Montefiore Einstein Center for Cancer Care. History of Transplant. Understanding of . Alloimmunity. : Medawar et al 1950’s. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) 1208http://jkms.org score-based s Region 6 . Portland, Oregon . September 21, 2018. The . Duniway. Hotel. Abigail Scott . Duniway. 1834 – 1915. Left Illinois to move to Portland via the Oregon Trail. Prominent suffragist. Oregon the 7. David Mulligan, MD, Chair. Liver & Intestinal Organ Transplantation Committee. November 12-13, 2014. November 2012 OPTN Board . Resolution:. The existing geographic disparity in allocation of organs for transplant is . Presented by: Michelle Morrison, RN MSN. Types of Abdominal Transplants. Kidney Transplant. Pancreas Transplant . Liver Transplant. 2. Kidney Transplant . 3. Why are my kidneys . so important? . Remove waste products from the body.