Anaesthesia for liver transplantation: experience at a teaching hospital

OBJECTIVE. To assess the anaesthetic aspects of liver transplantation. DESIGN. Retrospective study. SETTING. University teaching hospital, Hong Kong. PATIENTS. The first 55 patients who received liver transplantations between 5 October 1991 and 14 June 1997. MAIN OUTCOME MEASURES. The anaesthetic te...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 1999-03, Vol.5 (1), p.27
Main Authors: Fung, SKY, TWC Hui, Wong, AKY, GMY Lei
Format: Article
Language:chi ; eng
Subjects:
Anesthesia
Hypothermia
Liver
Liver transplants
Pediatrics
Teaching hospitals
Transplants & implants
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Summary:OBJECTIVE. To assess the anaesthetic aspects of liver transplantation. DESIGN. Retrospective study. SETTING. University teaching hospital, Hong Kong. PATIENTS. The first 55 patients who received liver transplantations between 5 October 1991 and 14 June 1997. MAIN OUTCOME MEASURES. The anaesthetic technique used; indications for liver transplantation and type of graft transplanted; survival rate; duration of anaesthesia and surgical starting time; intra-operative changes associated with major transfusion; frequency of hypothermia, coagulopathy, and reperfusion; frequency of use of cell saver devices, veno-venous bypass, and a rapid infusion system; and associated complications. RESULTS. All patients received general anaesthesia with rapid sequence induction. Most adult recipients had cirrhosis from various causes, whereas biliary atresia was the most common condition in the paediatric population. Both cadaveric and living-related liver transplantations were performed, and the overall 1-year survival rate of pa
ISSN:1024-2708
2226-8707