Special FeatureInternational Liver Transplantation Society/Society for Advancement of TransplantAnesthesia Consensus Statement on EssentialAttributes of a Liver Transplant AnesthesiologistChristine Nguyen-Buckley,MD,Dmitri S.Bezinover,MD,2 Pooja Bhangui,MD,3 Gianni Biancofiore,MD,Annabel Blasi,MD,Ryan Chadha,MD,Aliaksei Pustavoitau,MD,MHS,'Antoni Sabate,MD,PhD,8Fuat H.Saner,MD,Gebhard Wagener,MD,1 Christopher L.Wray,MD,Jeron Zerillo,MD,11 andTerry Ling Te Pan,MBBS12Background.We sought to establish consensus on the essential skills,knowledge,and attributes that a liver transplant(LT)anesthesiologist should possess in a bid to help guide the further training process.Methods.Consensus was achievedvia a modified Delphi methodology,surveying 15 identified international experts in the fields of LT anesthesia and critical care.Results.Key competencies were identified in preoperative management and optimization of a potential LT recipient;intra-operative management,including hemodynamic monitoring;coagulation and potential crisis management;and postopera-tive intensive and enhanced recovery care.Conclusions.This article provides an essential guide to competency-basedtraining of an LT anesthesiologist.(Transplantation 2023;00:00-00).INTRODUCTIONRationaleAimThe anesthesiologist plays an integral role in a success-This article provides international guidelines for anes-ful LT team.2 This is a unique role that is specialized andthesiologists seeking further training in liver transplantdifferent from other types of perioperative care.'LT is thedefinitive treatment for end-stage liver disease (ESLD),(LT)anesthesia through defining competencies in the vari-ous domains of skills,knowledge,and attitudes.We alsoacute liver failure (ALF),and hepatocellular carcinoma.Expected patient survival has increased and complicationsaim to provide best practical advice for attaining suchhave decreased because of the institution of dedicated LTcompetencies.We have assembled an international expertanesthesiology teams.2A 2012 US survey found that allgroup of LT anesthesiologists who helped provide consen-sus on the essential attributes of an LT anesthesiologist.responding US adult LT programs in good standing withUnited Network for Organ Sharing had a specialized LTReceived 25 August 2022.Revision received 10 January 2023.0 Department of Anesthesiology,Columba University Iring Medical Center,Accepted 2 February 2023.New York,NYDepartment of Anesthesiology and Perioperative Medicine,University ofDepertmentof Anesthesiology,Perioperathve and Pain Medicine,lcahnSchoolCaliomia at Los Angeles Medical Center,Los Angeles,CA.of Medicine at Mount Sinai,New York,NY.2Department of Anesthesiology.University of Pennsyvania,Pennsylvania,PA.12 Departmentof Anaesthesia,NationalUniversity Hospital,Singapore3 Department of Liver Transplan!Anesthesia.Medanta-The Medicity.Delh-The authors declre no funding or conflicts of interest.N.C.R,IndiaC.N.-B.and TL.TP particpated in the research design,the
