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Monitoring preload during liver transplantation

✍ 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

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✦ 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


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