Liver Transplant Division
About
The Liver Transplant Anesthesia Division provides specialty care to patients undergoing hepatobiliary as well as abdominal transplant surgeries. We aim to provide cutting edge clinical care for these patients, including the use of ERAS protocols, advanced monitoring techniques, continuous cardiac output PACs, and transthoracic & transesophageal echocardiography.
Our division is extensively involved in the education of residents. Several members of the group serve as members of the Residency Leadership Committee. Our faculty lead a biannual liver and coagulation teaching block and offer a liver transplant elective for our CA3 residents, visiting USN residents, and interested residents from other anesthesia residency programs. Please reach out to inquire about ways to rotate with our division.
A Message from the Division Chief

Katherine Forkin, MD
Division Chief Liver Transplant Anesthesia
Welcome to the Division of Liver Transplant Anesthesia Web Page. We have a robust clinical practice of hepatobiliary surgery as well as abdominal transplant performing 70-100 livers, 150-200 kidneys, and approximately 20 pancreas transplants per year. We are actively involved in educational endeavors as well as clinical research projects to advance the education of our residents and the care of our patients.
Our Division

Katherine T. Forkin, MD
Katherine T. Forkin, MD, Liver Transplant Division Chief
Dr. Forkin is an Associate Professor of Anesthesiology at the University of Virginia. She specializes in the care of patients undergoing liver transplantation.
Dr. Forkin serves on the American Society of Anesthesiologists (ASA) Committees for Patient Blood Management, Transplant Anesthesia, and Women Anesthesiologists.
Read Dr. Forkin’s Full Bio
Link to Dr. Forkin’s Publications

Lliam Brannigan, MBBCH
Lliam Brannigan, MBBCH
Lliam Brannigan, MD, is an anesthesiologist who cares for patients before and during surgery, managing their pain, comfort, and consciousness.
Dr. Brannigan was born in South Africa and grew up in Johannesburg, where he decided to become a doctor at age 6. He comes from a large family of Irish descent. He received his medical degree from the University of Witwatersrand in Johannesburg.
He completed his internship at Paarl Hospital in Cape Town and worked as a community service doctor at a mission hospital in northern South Africa. Dr. Brannigan served as a trauma and helicopter rescue medical officer and was part of the South African Search and Rescue team that worked at the 2005 Pakistan earthquake.
He then completed a specialist degree in anesthesiology at WITS University and a fellowship in critical care at WITS Donald Gordon Medical Center (WDGMC). He was previously director of the ICU at the Life the Glynnwood Hospital in Benoni and director of critical care at WDGMC.
He also holds a master’s degree in perioperative medicine from University College London. Dr. Brannigan’s wife is a physician, and they have two children.

Stephen R Collins, MD
Residency Program Director
Stephen R Collins, MD
Dr. Collins is a Virginia native and a graduate of The College of William and Mary and the University of Virginia School of Medicine and Department of Public Health Sciences in a dual degree (M.D./M.S. in Clinical Research) program. After completing an internship at Yale New-Haven Hospital, he returned to University of Virginia for his anesthesiology residency with specialty training in liver transplantation.
Dr. Collins is a board-certified anesthesiologist whose clinical practice focuses on caring for patients requiring general surgery and liver transplantation. His research interests include medical education. He serves as Residency Program Director and has a passion for teaching and education. While on faculty, he has been awarded the annual resident Faculty Teaching Award three times, the GME Master Educator Award, and is a member of the Center for Excellence in Education. He served on the University of Virginia School of Medicine Admissions Committee for many years. He serves as a Senior Examiner for the American Board of Anesthesiology.
Dr. Collins lives with his wife – a practicing endocrinologist – and their two daughters in Charlottesville. He spends his time outside of work reading and enjoying the city, nature, and time with family.
Read Dr. Collins’ Full Bio
Link to Dr. Collins’ Publications

Hamelmal Kassahun, MD
Hamy Kassahun, MD
Dr. Kassahun is an Assistant Professor of Anesthesiology at the University of Virginia. Dr. Kassahun graduated from the Alabama School of Medicine in 2019. She completed a four year categorical anesthesiology residency program at the University of Virginia. In medical school, Dr. Kassahun was awarded a NIH Summer research grant and honored as ‘Scribe of the Year.’
Dr. Kassahun was an outstanding resident in Anesthesiology at the University of Virginia. During residency, she presented at the IARS, on “Pseudocholinesterase Deficiency in a Patient with Prolonged Recovery of Neuromuscular Function after Initial Electroconvulsive Therapy and Subsequent Use of Low Dose Rocuronium with Sugammadex Reversal” in 2020. She completed a Q1 project in 2021 on microagression in the perioperative environment. She is also writing a book chapter titled, “Evidence-based Guide on Difficult Airway Management.” In her time away from the hospital, she enjoys running, hiking, cooking, traveling and spending time with her husband and two young boys.

Amanda M. Kleiman, MD
Amanda M. Kleiman, MD
Dr. Kleiman is an Associate Professor of Anesthesiology at the University of Virginia. Her clinical interest/focus centers on caring for patients undergoing cardiothoracic and major vascular surgery as well as liver transplantation. Her research interests include improvement of the care of cardiothoracic surgical patients, echocardiography, and education research focusing on maximizing the quality of resident and medical student education.
Dr. Kleiman serves as an Assistant Program Director for our core Residency and is the Director of curriculum development, exam preparation. and assessment. She has grant funded research examining sleep disturbance following cardiac surgery and its relationship to delirium and dementia. Her particular education research interests include biases in education, the effect of stress, sleep, and wellness on resident training, and novel education/learning techniques. Outside of work, she enjoys being outside with her friends and golden retriever puppy.
Read Dr. Kleiman’s Full Bio
Link to Dr. Kleiman’s Publications

Eryn Thiele, MD
Eryn Thiele, MD
Eryn Thiele completed medical school at the University of Colorado and came to the University of Virginia to complete residency and serve as a chief in her final year. She completed a liver transplantation fellowship at UVA in 2021 and stayed on as faculty.
Dr. Thiele is passionate about resident and medical student education. She was awarded the annual Resident Faculty Teaching Award twice and serves as an Assistant Program Director for the core Residency and as well as the Director of our FAM (Foundations of Anesthesia) program and orientation training for our CA0/1s.
Outside of work, Dr. Thiele enjoys spending time with her husband and their two boys.
Resident Rotation
UVA performs all solid organ transplants except small bowel transplants, and residents get an early and extensive exposure to these complex and exciting cases. Beginning in the CA0 year, residents may participate in a living or deceased donor kidney transplant, of which we perform around 120 procedures per year. During the CA1 year, it is possible to complete liver transplants (70-80/year) which can be some of the most challenging anesthetics to perform due to the massive blood loss, metabolic derangements, arrhythmias, and fluid shifts.
Our CA2 and CA3 residents have more opportunity to participate in liver transplants, including a capstone CA3 liver transplant rotation where they cover all transplants which occur and solidify their management of these difficult cases. Additionally, residents have the opportunity to take care of heart transplant patients (about 30/year) and lung transplant cases (around 30-50/year and growing).
Most of our residents choose an elective transplant rotation during their final year of training.
The Growth of Our Clinical Volumes
See the chart below.
Liver Transplant Anesthesia Research:
- Completed enrollment of 40 liver transplant patients evaluating Quantra Q-stat (a new viscoelastic monitoring device) in comparison to results obtained from ROTEM as part of a multicenter trial (Forkin PI)
- Published key articles in premier anesthesia journals related to transplant anesthesia as well as other topics
- Several Resident Case Presentations at National Meetings (ASA, IARS, liver society meetings)
- Effects of CirQPOD Intrathoracic Pressure Regulation on Non-invasive Cardiac Output in Patients Undergoing Hepatic Resection
- Utility of Pre-operative Transthoracic Echocardiogram to Predict Day-of-Transplant Right Heart Hemodynamics
- Evaluation of the Clinical Performance of the Quantra System with the QStat Cartridge in Trauma and Liver Transplantation
Publications:
Forkin KT, Colquhoun DA, Nemergut EC, Huffmyer JL. “The coagulation profile of end-stage liver disease and considerations for intraoperative management.” Anesth Analg. 2018 Jan;126(1):46-61.
Walters SM, Richter EW, Lutzker T, Patel S, Vincent AN, Kleiman AM. “Perioperative Considerations Regarding Sex in Solid Organ Transplantation.” Anesthesiol Clin. 2020 Jun;38(2):297-310.
Leaders in state and national societies
- American Society of Anesthesiologists: Committee on Transplant Anesthesia
- DC/Maryland/Virginia Liver Transplant Anesthesiologists: Annual Meeting Planning Committee
- ERAS for Liver Transplantation (ERAS4OLT): Expert Working Group Panel Member, Coagulation & Transfusion
- A&A Editorial Board Membership