The Division of Liver Transplant Anesthesia is one of the most active clinical programs worldwide. The Recanati-Miller Transplantation Institute has a long history of excellence in clinical care and research. Since the inception of the liver transplantation program, more than 2,000 patients have received cadaveric or living donor transplants at Mount Sinai. Mout Sinai is also a leading center for living donor hepatic transplantation. Our anesthesiology team is consists of a core group of seven attending anesthesiologists. The Division also has five pediatric anesthesiologists that cover the pediatric liver transplantation. The institution performs 150-200 liver transplants per year, and approximately 25-30 of these are pediatric cases.

Liver transplantation anesthesiology is a tremendous clinical challenge—the ultimate in the integration of knowledge and technical skills. Trainees learn cardiovascular, respiratory, and hepatic physiology, and the application of this knowledge to hepatic transplantation, major hepatic resections, and all aspects of perioperative management. The use of invasive monitoring is pervasive—pulmonary artery catheters are used routinely and the use of ultrasonic vessel finders is ubiquitous in coagulopathic patients.

The cases are notable for massive transfusion in all age groups, hyperdynamic states, marked vasodilation, and the state-of-the-art in therapy of coagulopathies. Our staff also have extensive experience and training in transesophageal echocardiography and use it selected cases to enhance the monitoring and educational experience. The trainee will gain experience with rapid infusion systems, cell salvaging, veno-veno bypass, and all forms of anesthesia monitoring.