Monitoring preload during liver transplantation
β Scribed by Andre M. De Wolf; Shushma Aggarwal
- Publisher
- John Wiley and Sons
- Year
- 2008
- Tongue
- English
- Weight
- 55 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1527-6465
- DOI
- 10.1002/lt.21316
No coin nor oath required. For personal study only.
β¦ Synopsis
Liver transplantation is associated with major shifts in central blood volume; therefore, monitoring preload is essential. Filling pressures (central venous pressure or pulmonary artery occlusion pressure) do not reflect preload [right ventricular end-diastolic volume (RVEDV) or left ventricular end-diastolic volume (LVEDV)] well because these pressures are affected not just by preload but also by changes in compliance of the heart. These compliance changes can be quite significant because of the changes in chest volume that are the result of surgical retraction
π SIMILAR VOLUMES
We read with great interest the study by Abdala et al., 1 which examines whether there is significant bacterial translocation during liver transplantation. This is of particular interest because we have recently shown that endotoxin can impair immune function in the context of liver disease, which m
intraoperative hypothermia, goal-directed transfusion, and routine application of aprotinin the median blood loss in primary transplants in this series was 6 U of packed red cells (range, 0-150 U) and 8 U of fresh frozen plasma (range, 0-150 U). Despite these comparatively low transfusion needs, we