Objective: The aim of this study was to summarize the intensive care experience of a patient undergoing combined multi-organ cluster ("larynx-trachea-thyroid-hypopharynx-esophagus") transplantation.

Methods: The intensive care management plan for this case was developed by a multidisciplinary team, with focus on 6 aspects: (1) stabilizing the circulation and reducing anastomotic tension by position management to improve the survival chances of transplanted organs, (2) adopting goal-directed analgesia and sedation protocols, as well as preventing anastomotic fistula, (3) implementing a bedside ultrasound-guided nutrition plan, (4) employing "body-mind" synchronous rehabilitation to facilitate functional recovery, (5) taking antirejection treatment and protective isolation measures, (6) monitoring and nursing thyroid function.

Results: During the intensive care, the patient's vital signs were stable. The patient was successfully weaned from the ventilator and transferred to the general ward for further treatment at 9 days postoperatively, and discharged upon recovery at 58 days postoperatively. The patient was in good condition during follow-up.

Conclusion: This study provides reference for the care of patients who undergo similar transplantation in the future.

Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

目标: 本研究旨在总结一例接受复合多器官簇（“喉-气管-甲状腺-下咽-食道”）移植患者的重症监护经验。

方法: 该病例的重症监护管理计划由一个多学科团队制定，重点在于六个方面：(1) 通过体位管理稳定循环并减少吻合口张力，以提高移植器官的存活几率；(2) 实施目标导向镇痛和镇静方案，并预防吻合口瘘；(3) 制定床旁超声引导下的营养计划；(4) 使用“身心同步康复”促进功能恢复；(5) 采取抗排斥治疗和保护性隔离措施；(6) 监测并护理甲状腺功能。

结果: 在重症监护期间，患者的生命体征稳定。术后9天，患者成功脱离呼吸机，并转入普通病房继续接受治疗。术后58天，患者康复出院。随访期间，患者的状况良好。

结论: 本研究为未来类似移植手术的护理提供了参考依据。