Repeating Cardiac Arrest and One Hour of Cardiopulmonary Resuscitation due to Severe Hyperkalemia after Reperfusion during a Liver Transplantation: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 545-549, 2005.
Article
in Korean
| WPRIM
| ID: wpr-205006
ABSTRACT
Liver transplantation still carries considerable risks even if the improvements in surgical and anesthetic techniques lead to a significant decrease in complications. Cardiac arrest during liver transplantation occurs most frequently immediately after the reperfusion due to the influx of hyperkalemic blood from donor liver into a recipient. Cardiac arrest caused by hyperkalemia shows a favorable response to cardiopulmonary resuscitation; however, prolonged cardiopulmonary resuscitation can damage the transplanted liver as well as brain and kidney resulting increased mortality and morbidity rates. The authors experienced repeating cardiac arrest and one hour cardiopulmonary resuscitation due to severe hyperkalemia (8.8 mmol/L) just after the reperfusion during cadaveric liver transplantation. Consciousness was returned 6 hours after operation and vital signs was stable. Transplanted liver well functioned although postoperative course was complicated with acute renal failure, pneumonia and pleural effusion. The patient recovered and discharged 97 days after operation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pleural Effusion
/
Pneumonia
/
Tissue Donors
/
Brain
/
Cadaver
/
Reperfusion
/
Mortality
/
Liver Transplantation
/
Cardiopulmonary Resuscitation
/
Consciousness
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2005
Type:
Article
Similar
MEDLINE
...
LILACS
LIS