Document Objectives
A. Liver Transplant
- Performance of a screening ultrasound examination to establish a baseline following transplantation as per the hospital surveillance protocol.1
- Evaluation for vascular patency and for suspected thrombosis or stenosis.2
- Evaluation for a possible fluid collection or assessment of drainage catheter output.
- Assessment of the biliary tree for dilatation, a stricture, biloma, or an abscess.
- Assessment of the transplant in the setting of abnormal liver function test results.
- Evaluation for pain, fever, sepsis, or other clinical issues.
- Follow‐up of abnormal findings on a prior transplant ultrasound examination.
- Evaluation for recurrent malignancy or posttransplant lymphoproliferative disorder.2-7
- Evaluation for cirrhosis or recurrent underlying liver disease.
- Reevaluation of the liver transplant and vasculature after final abdominal wall closure.
- Evaluation for iatrogenic injury or complications following biopsy of the transplanted liver.
B. Renal Transplant
- Performance of a screening ultrasound examination to establish a baseline following transplantation as per the hospital surveillance protocol.
- Evaluation for vascular patency and for suspected thrombosis or stenosis.8
- Evaluation for a possible fluid collection or assessment of drainage catheter output.8
- Evaluation for suspected hydronephrosis, hydroureter, or a bladder abnormality.
- Assessment of the transplant in the setting of abnormal laboratory or clinical values (eg, elevated creatinine and low or decreased urine output).
- Evaluation for pain, fever, sepsis, hematuria, or other clinical issues.
- Evaluation of the transplant in the setting of hypertension or bruit.
- Follow‐up of abnormal findings on a prior transplant ultrasound examination.
- Evaluation for iatrogenic injury or complications following biopsy of the transplanted kidney.
- Evaluation for recurrent malignancy or posttransplant lymphoproliferative disorder.
C. Pancreas Transplant
- Performance of a screening ultrasound examination to establish a baseline following transplantation as per the hospital surveillance protocol.
- Evaluation for vascular patency and for suspected thrombosis or stenosis.
- Evaluation for a possible fluid collection or assessment of drainage catheter output.
- Assessment of the transplant in the setting of abnormal laboratory values or clinical parameters (eg, elevated blood glucose and lipase levels).
- Assessment of the transplant in the setting of infection, pancreatitis, or other clinical issues.
- Follow‐up of abnormal findings on a prior transplant ultrasound examination.
- Evaluation for iatrogenic injury or complications following biopsy of the transplanted pancreas.
- Evaluation of the response to treatment (eg, immunosuppressive therapy in the setting of rejection).
Intended Users
Medical techologist technician, nurse, nurse practitioner, physician, physician assistant