Korean J Anesthesiol.  1993 Oct;26(5):1021-1028. 10.4097/kjae.1993.26.5.1021.

Anesthetic management for Liver transplantatin : 4 cases

Affiliations
  • 1Department of Anesthesiology, Ulsan University College of Medicine, Ulsan, Korea.

Abstract

We managed four cases of anesthesia for liver transplantation from August, 1992 to January, 1993. Four recipients, all male patients and ages of 40th, were suffered from liver cirrhosis related to Chronic hepatitis B and one recipient (case 1) was diagnosed as combined hepatocellular carcinoma. Operation risks by Pugh's classification were 10 (case 1), 8 (case 2), 7 (case 3) and 12 (case 4). Duaration of anesthesia was in the range of 13 to 22.5 hours. Various hemodynamic monitorings were observed and anesthetic managements were uneveritful. C.O., SVR, temperature and coagulation factors were analyzed. 2 patients (case 1 & 4) were expired due to acute rejection (case 1) and primary non-function of the grafted liver (case 4) postoperatively.


MeSH Terms

Anesthesia
Blood Coagulation Factors
Carcinoma, Hepatocellular
Classification
Hemodynamics
Hepatitis B, Chronic
Humans
Liver Cirrhosis
Liver Transplantation
Liver*
Male
Transplants
Blood Coagulation Factors
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