Liver Transplant Anesthesia Fellowship
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 3,000 patients have received cadaveric or living donor transplants at Mount Sinai. Mount Sinai is also a leading center for living donor hepatic transplantation. Our anesthesiology team consists of a core group of six attending anesthesiologists. The division also has five pediatric anesthesiologists that cover pediatric liver transplantation. The institution performs 100-150 liver transplants per year.
The anesthesia team is actively developing a group of best practices, with increasing utilization of thromboelastography, intraoperative use of transesophageal echocardiography, and a concerted effort to reduce blood-product administration. The dedicated anesthesiology staff contributes to adherence to best practices and superlative communication between the specialties by maintaining a close working relationship with the surgical team. The academic productivity of the Transplantation Institute anesthesia team is continually improving. In addition to several presentations and national and international meetings, the group is currently conducting several retrospective and prospective trials.
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 for these coagulopathic patients.
The Transplantation Institute's educational mission has been enhanced by the creation of a fellowship in Liver Transplantation Anesthesia. Currently, we have one position annually. The addition of the fellow refines the experience of the anesthesia residents during Transplantation Institute rotations by allowing for increased intraoperative instruction. The trainee will gain experience with rapid infusion systems, cell salvaging, veno-veno bypass, and all forms of anesthesia monitoring.
Samuel DeMaria Jr., MD
Medical Education &
Fellowship Coordinator Anesthesiology
Department of Anesthesiology
One Gustave L. Levy Place
New York, NY 10029-6574