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Anesth Analg 1985; 64:117-124
© 1985 International Anesthesia Research Society
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Anesthesia for Pediatric Orthotopic Liver Transplantation

Lawrence M. Borland, MD, Marenea Roule, CRNA, and D. Ryan Cook, MD

Departments of Anesthesiology and Critical Care Medicine, Children's Hospital of Pittsburgh and the University of Pittsburgh, Pittsburgh, Pennsylvania.

Abstract

The anesthetic management of 68 liver transplantations in 50 pediatric patients is described. The surgical technique is briefly reviewed. The selection of an anesthetic technique was not as important as management of numerous intraoperative problems. Citrate intoxication secondary to massive blood transfusion in the hypothermic anhepatic patient is a major problem, as are coagulation deficiencies. Hyperkalemic cardiac arrest, also a significant hazard, produced the only intraoperative death.

Key Words: LIVER—transplantation • ANESTHETIC TECHNIQUES—liver transplantation




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V. W. Xia, B. Du, A. Tran, L. Liu, K.-Q. Hu, J. R. Hiatt, R. W. Busuttil, and R. H. Steadman
Intraoperative hypokalemia in pediatric liver transplantation: incidence and risk factors.
Anesth. Analg., September 1, 2006; 103(3): 587 - 593.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1985 by the International Anesthesia Research Society.