Your browser doesn't support javascript.
loading
Intraoperative management of liver transplant recipients having severe renal dysfunction: results of 42 cases
Annals of Surgical Treatment and Research ; : 45-53, 2018.
Article in English | WPRIM | ID: wpr-715668
ABSTRACT

PURPOSE:

Whereas continuous renal replacement therapy (CRRT) has been utilized during liver transplantation (LT), there was a lack of evidence to support this practice. We investigated the adverse events at the perioperative periods in recipients of LT who received preoperative CRRT without intraoperative CRRT.

METHODS:

We retrospectively reviewed medical records of adult patients (age ≥ 18 years) who received LT between December 2009 and May 2015. Perioperative data were collected from the recipients, who received preoperative CRRT until immediately before LT, because of refractory renal dysfunction.

RESULTS:

Of 706 recipients, 42 recipients received preoperative CRRT. The mean (standard deviation) Model for end-stage liver disease score were 49.6 (13.4). Twenty-six point two percent (26.2%) of recipients experienced the serum potassium > 4.5 mEq/L before reperfusion and treated with regular insulin. Thirty-eight point one percent (38.1%) of recipients were managed with sodium bicarbonate because of acidosis (base excess 5.5 mEq/L), refractory acidosis, or critical arrhythmias. Mortality was 19% at 30 day and 33.3% at 1 year.

CONCLUSION:

Although intraoperative CRRT was not used in recipients with severe preoperative renal dysfunction, LT was safely performed. Our experience raises a question about the need for intraoperative CRRT.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Arrhythmias, Cardiac / Potassium / Acidosis / Reperfusion / Medical Records / Retrospective Studies / Mortality / Liver Transplantation / Sodium Bicarbonate / Renal Replacement Therapy Type of study: Observational study / Prognostic study Limits: Adult / Humans Language: English Journal: Annals of Surgical Treatment and Research Year: 2018 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Arrhythmias, Cardiac / Potassium / Acidosis / Reperfusion / Medical Records / Retrospective Studies / Mortality / Liver Transplantation / Sodium Bicarbonate / Renal Replacement Therapy Type of study: Observational study / Prognostic study Limits: Adult / Humans Language: English Journal: Annals of Surgical Treatment and Research Year: 2018 Type: Article