Có 16+ tài liệu thuộc chủ đề "Liver transplantation"
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Extubation in the operating room results in fewer composite mechanical ventilation-. related adverse outcomes in patients after liver transplantation: a retrospective cohort study. Background: To investigate the effect of extubation in the operating room (OR) on mechanical ventilation-related adverse outcomes in patients who undergo liver transplantation.. According to the timing of extubation, patients were divided into OR extubation group and...
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Disseminated intravascular coagulation. following air embolism during orthotropic liver transplantation: is this just a coincidence?. Background: During orthotopic liver transplantation, venous air embolism may occur due to iatrogenic injury of the inferior vena cava. However, venous air embolism followed by coagulopathy is a rare event. In this case report, we discuss a possible connection between venous air embolism and disseminated...
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Effects of propofol and sevoflurane on hepatic blood flow: a randomized. Background: Maintaining adequate perioperative hepatic blood flow (HBF) supply is essential for preservation of postoperative normal liver function. As a result of the GDHT, pre-set hemodynamic targets were obtained in both groups, but MAP was significantly lower in group S ( p = 0.01). Conclusion: Hepatic blood flow was...
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evaluation predicts postoperative outcomes in liver transplantation: a prospective. Significant correlations of Q-CRT and Δ A b , a tissue oxygen delivery parameter calculated by pulse oximetry data, at ICU admission with the postoperative outcomes such as length of ICU and hospital stay and total amount of ascitic fluid discharge were observed.. Quantitative CRT and Δ A b at ICU...
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Liver transplantation in Jehovah ’ s. Background: Jehovah ’ s Witnesses represent a tremendous clinical challenge when indicated to liver transplantation because they refuse blood transfusion on religious grounds and the procedure is historically associated with potential massive peri-operative blood loss. We herein describe a peri-operative management pathway with strategies toward a transfusion-free environment with the aim not only of...
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patients undergoing liver transplantation. Background: Rapid neuromuscular block reversal at the end of major abdominal surgery is recommended to avoid any postoperative residual block. To date, no study has evaluated sugammadex performance after rocuronium administration in patients undergoing liver transplantation.. This is a randomized controlled trial with the primary objective of assessing the neuromuscular transmission recovery time obtained with sugammadex...
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Validity of mini-fluid challenge for. predicting fluid responsiveness following liver transplantation. Background: Mini-fluid challenge is a well tested and effective tool to predict fluid responsiveness under various clinical conditions. However, mini-fluid challenge has never been tested in patients with end-stage liver disease.. This study investigated whether infusion of 150 ml albumin 5% can predict fluid responsiveness in cirrhotic patients following...
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Background: Most centres use fresh frozen plasma (FFP) based protocols to prevent or treat haemostatic disturbances during liver transplantation. Results: Thrombelastometry guided coagulation management resulted in a transfusion rate for fibrinogen concentrates in 50.2%, PCC in 18.8%, platelet concentrates in 21.2%, tranexamic acid in 4.5%, and red blood cell concentrates in 59.4%. The univariate analyses indicated that nonsurvivors received significantly...
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The validity of central venous to arterial carbon dioxide difference to predict. Simultaneous blood samples from central venous and pulmonary artery catheters (PAC) were sent to calculate central venous to arterial CO 2 gap [C(v-a) CO2 gap] and pulmonary venous to arterial CO 2 gap [Pulm(p-a) CO2 gap].. The discriminative ability of central and pulmonary CO 2 gaps between the...
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extubation after living donor liver transplantation: a retrospective observational cohort study. Background: Early extubation after liver transplantation is safe and accelerates patient recovery. We investigated the impact of core muscle mass on the feasibility of immediate extubation in the operating room (OR) after living donor liver transplantation (LDLT).. The preoperative PMI was higher in the immediate extubation group than in...
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regurgitation and pulmonary hypertension during orthotopic liver transplantation: a case report demonstrating the importance of reversibility as a favorable. Background: Tricuspid regurgitation (TR) and pulmonary hypertension (PHT) are highly dynamic cardiovascular lesions that may progress rapidly, particularly in the orthotopic liver transplantation (OLT) waitlist population. Severe TR and PHT are associated with poor outcomes in these patients, however it is...
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Non-invasive cardiac output measurement with electrical velocimetry in patients. Background: The goal of this study was to evaluate the accuracy and interchangeability between continuous cardiac output (CO) measured by electrical velocimetry (CO Ev ) and continuous cardiac output obtained using the pulmonary thermodilution method (CO PAC ) during living donor liver transplantation (LDLT).. CO data were in the range of...
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Association between viscoelastic tests- guided therapy with synthetic factor concentrates and allogenic blood transfusion in liver transplantation: a before-after study. Background: Perioperative bleeding and transfusion are important causes of morbidity and mortality in patients undergoing liver transplantation. The aim of this study is to assess whether viscoelastic tests-guided therapy with the use of synthetic factor concentrates impact transfusion rates of...
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Effects of bacterial translocation on. hemodynamic and coagulation parameters during living-donor liver transplant. Background: Bacterial translocation (BT) has been proposed as a trigger for stimulation of the immune system with consequent hemodynamic alteration in patients with liver cirrhosis. Methods: We screened 30 consecutive adult patients undergoing living-donor liver transplant for the presence of BT.. Results: Bacterial DNA was detected in...
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Statin use is associated with the reduction in hepatocellular carcinoma recurrence after liver surgery. Elias Khajeh 1 , Arash Dooghaie Moghadam 1 , Pegah Eslami 1 , Sadeq Ali‑Hasan‑Al‑Saegh 1 , Ali Ramouz 1 , Saeed Shafiei 1 , Omid Ghamarnejad 1 , Sepehr Abbasi Dezfouli 1 , Christian Rupp 2,3 , Christoph Springfeld 3,4 , Carlos Carvalho 5 ,...
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Until August 2013, nearly 850 cases of kidney Tx were performed in 12 Vietnamese hospitals, including 48 cadaveric kidney Tx and more than 160 living donor nephrectomy by endoscopy. Thirty three cases of liver Tx, including 20 living donor liver Tx (LDLT) and 13 cases from brain death patients, were carried out in 5 centers of our country. Nine cases...