Anesthesia and Intraoperative Intensive Care for Liver Transplantation

A.S. Nikonenko, S.N. Gritsenko, V.A. Sobokar, V.V. Salenyuk, A.A. Voronoy

Abstract


The article deals with the experience of anesthetic management in orthotopic liver transplantation in 13 patients. There is described the technique of general anesthesia without venovenous bypass. The analysis of hemodynamics, oxygen transport, changes of some parameters of metabolism at the stages of anesthesia and surgery is provided. Anesthesia and intraoperative intensive care in liver transplantation are very difficult problems, requiring sufficient equipment, transfusion management, invasive monitoring, and well-coordinated work of surgeons, anesthesiologists, perfusionists, transfusiologists, laboratory doctors.


Keywords


transplantation; liver; anesthesia; intensive care

References


Ерамешанцев А.К., Готье С.В., Цирюльникова О.Н. Ортотопическая трансплантация печени // Клиническая медицина. — 1991. — Т. 69, № 16. — С. 12-16.

Хижняк А.А. Концентрация оксибутирата натрия при наркозе в условиях хирургической кровопотери: Дис... канд. мед. наук. — Харьков, 1979. — 123 с.

Шумаков В.И., Козлов И.А., Пиляева И.Е. и др. Aнестезиологическое обеспечение ортотонической трансплантации печени в клинике // Анестезиология и реаниматология. — 1991. — № 4. — С. 3-10.

Шумаков В.И., Мойсюк Я.Г. Трансплантация печени в России // Трансплантология и искусственные органы. — 1994. — Презентационный выпуск. — С. 25-28.

Busuttil R.W., Tanaka K. The utility of marginal donors in liver transplantation // Liver Transplant. — 2003. — 9. — P. 651-663.

Christopher C.D., Barry A.H., Mordecai М., Crawford C., Shine S.J., Winston R. Hewitt, Lawrence R. McBride, Michael J. Murray. Anesthesia for Combined Cardiac Surgery and Liver Transplant // Journal of Cardiothoracic and Vascular Anesthesia. — 2010. — Vol. 24, Issue 2. — P. 285-292.

Fabbroni D., Bellamy M. Anaesthesia for hepanic transplantation. Continuing educftion in anaesthesia // Critical care and pain. — 2006. — 6. — P. 171-175.

Govender S. Anaesthesia for liver transplant. — University of Kwazulu-Natal, 2009. — P. 1-39.

Hannaman M.J., Hevesi Z.G. Anaesthesia care for liver transplantation // Transplant Reviews. — 2011. — 25. — P. 36-43.

Joseph L. Manley, Jeffery S. Plotkin, John Yosaitis, David J. Plevak. Controversies in anesthetic management of liver transplantation // HPB (Oxford). — 2005. — 7(3). — 183-185.

Starzl Thomas E. The Puzzle People. Memoirs of a transplant surgeon. — University of Pittsburgh Press, 1992. — 364 p.

Thomas J., McCulloch M., Spearman W., Butt T., Numanoglu A. A practical approach to anaesthesia for paediatric liver transplantation // Southern African Journal of Anaesthesia and Analgesia. — 2006. — Vol. 3. — P. 11-15.

Wang Ling, Tang Shirong. Anesthesia management for liver transplantation // Journal of Clinical Rehabilitative Tissue Engineering Research. — 2008. — Vol. 3. — P. 43-51.

Yokoyama I., Todo S., Miyta T. et al. Endotoxemia and human liver transplantation // Transplant. Proc. — 1989. — 21. — 3833-3841.

Yu Xiang-hong, Wu Xiao-zhi, Chen Guo-zhong. Effect of retrograde perfusion on hemodynamics in orthotopic liver transplantation // Journal of Clinical Rehabilitative Tissue Engineering Research. — 2008. — Vol. 3. — P. 33-38.




DOI: https://doi.org/10.22141/2224-0586.6.53.2013.88722

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