Anesthesia for Liver Transplantation in a Patient with Hepatic Failure Combined with Primary Renal Failure: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 547-553, 2007.
Article
em Ko
| WPRIM
| ID: wpr-193250
Biblioteca responsável:
WPRO
ABSTRACT
Renal failure frequently accompanies advanced hepatic failure. Even if adequate renal function is not considered as a prerequisite for transplant candidacy, impaired renal function prior to liver transplantation has been regarded as an independent risk factor of graft dysfunction and mortality. Liver transplantation in such a patient also presents a number of challenges to the anesthesiologists. Optimal fluid therapy, prompt and aggressive correction of electrolytes and metabolic disturbances, careful selection of anesthetic techniques and agents, and close monitoring of cardio-respiratory function help reduce the graft failure and perioperative mortality. In such cases, continuous renal replacement therapy (CRRT) is used with increasing frequency during or after the surgery. So, anesthesiologists need to understand the basic principles, potential applications, and anesthetic implications of several CRRT options. We therefore present the anesthetic experience in a patient with hepatic failure combined with primary renal failure, successfully managed during or after liver transplantation.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Fatores de Risco
/
Mortalidade
/
Transplante de Fígado
/
Falência Hepática
/
Terapia de Substituição Renal
/
Transplantes
/
Eletrólitos
/
Insuficiência Renal
/
Hidratação
/
Anestesia
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2007
Tipo de documento:
Article