Anesthetic Management of Severely Hypokalemic Patients for Liver Transplantation

Khoury, Georges F.; Foster, Scot; Raybould, D.; Nyerges, Anthony; Busuttil, Ronald W.

doi:10.1097/00000542-199008000-00023

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1993

2000

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“…Reperfüzyon öncesinde ise replasmanda agresiv davranılmamıştır. Preoperatif serum potasyum değerinin 2 mEq/lt'nin altında olduğu vakalarda dahi, şayet durum kronik ise, karaciğer transplantasyonu gibi acil operasyon gerektiren olgularda anestezi için kontrendikasyon oluşturmaması gerektiği deneyimler sonucu bildirilmiştir (9).…”

Section: Olgu Sunusuunclassified

Bi̇r Vaka Nedeni̇ İle Karaci̇ğer Transplantasyonunda Anestezi̇k Yaklaşim

Yeşim;ÇANAKÇI¹

1994

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Section: Olgu Sunusuunclassified

Bi̇r Vaka Nedeni̇ İle Karaci̇ğer Transplantasyonunda Anestezi̇k Yaklaşim

Yeşim;ÇANAKÇI¹

1994

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Metabolism and liver transplantation: Review of perioperative issues

Merritt

2000

Liver Transpl

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.. Metabolic Problems During the Derioperative PeriodLiver transplantation is performed primarily in patients who have been ill for a lengthy period. Multisystemic ctTects of cirrhosis include a host of interrelated metabolic proccsscs ( Table 2). This review assunies that sonic o r all of these perturbations are present and focuses on issues of concern. Acid-Base ConsiderationsAlthough both rcspiratory and metabolic acidosis occur during the course of cirrhosis$-" the handling of metabolic acids is often abnormal by the time patients present for transplantation. Because of its metabolism of orginic acid anions, primarily lactate and certain Jmino acids, the livcr has an important influence on normal acid-base homeostasis. The liver is also the primary source of urea production, a process that consumes bicarbonate (Fig. I), but the importance of this to acid-base balance is debated. Some have suggested that hcpatic urea synthesis has a role in acid-basc baliinrc similar to that of the kidneys and lungs,' leading to thc assertion that decreased urea synthesis is largely rcsponsible for the metabolic alkaosis often scen in cnd-stagc liver diseasc (ESLD This is more likely to occur in those patients administcred large amounts of blood producrs. which arc chelatcd with sodium citrate. When this citrate load is mct;ibolizcd by the transplanted liver. bicarbonate ion i s Rcnermd in the process (Fig. 2).Acidosis is uncommon in ESLL), but when it occurs, i t is typically associated with renal dysfunction andlor

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What a Neurosurgeon Should Know About Anesthesia for Posterior Fossa Tumors

Gösseln¹,

Suhr²

1993

Principles of Pediatric Neurosurgery

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Anesthetic Management of Severely Hypokalemic Patients for Liver Transplantation

Cited by 4 publications

References 0 publications

Bi̇r Vaka Nedeni̇ İle Karaci̇ğer Transplantasyonunda Anestezi̇k Yaklaşim

Bi̇r Vaka Nedeni̇ İle Karaci̇ğer Transplantasyonunda Anestezi̇k Yaklaşim

Metabolism and liver transplantation: Review of perioperative issues

What a Neurosurgeon Should Know About Anesthesia for Posterior Fossa Tumors

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