Perioperative risk factors for prolonged mechanical ventilation after liver transplantation due to acute liver failure / 대한마취과학회지
Korean Journal of Anesthesiology
; : 228-236, 2013.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-79003
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Acute liver failure (ALF) is a rapidly progressing and fatal disease for which liver transplantation (LT) is the only treatment. Posttransplant mechanical ventilation tends to be more prolonged in patients with ALF than in other LT patients. The present study examined the clinical effects of prolonged posttransplant mechanical ventilation (PMV), and identified risk factors for PMV following LT for ALF.METHODS:
We reviewed data of patients undergoing LT for ALF between January 2005 and June 2011. After grouping patients according to administration of PMV (> or = 24 h), donor and recipient perioperative variables were compared between the groups with and without PMV. Potentially significant factors (P or = grade III), intraoperative blood pressure fluctuation, and oliguria (< 0.5 ml/kg/h) were independent risk factors for PMV.CONCLUSIONS:
PMV was associated with deleterious outcomes. Besides care for known risk factors including hepatic encephalopathy, meticulous attention to managing intraoperative hemodynamic circulatory status is required to avoid PMV and improve the posttransplant prognosis in ALF patients.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Oligúria
/
Prognóstico
/
Respiração Artificial
/
Doadores de Tecidos
/
Pressão Sanguínea
/
Modelos Logísticos
/
Encefalopatia Hepática
/
Análise Multivariada
/
Fatores de Risco
/
Transplante de Fígado
Tipo de estudo:
Estudo de etiologia
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2013
Tipo de documento:
Artigo