Evaluation of an uncalibrated arterial pulse contour cardiac output monitoring system in cirrhotic patients undergoing liver surgery

Biancofiore, Gianni; Critchley, L.A.H.; Lee, Anna; Bindi, L; Bisà, M; Esposito, Massimo; Meacci, Luca; Mozzo, Roberto; Simone, Paolo De; Urbani, Lucio; Filipponi, Franco

doi:10.1093/bja/aen343

Cited by 159 publications

(102 citation statements)

References 33 publications

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“…However, its advantage over other pulse contour derived methods is that it provides beat to beat changes in CO, while the Vigileo computes and displays SV values every 20 s. The values obtained from LiDCO and the FloTrac have been compared with PAC and found to be comparable. 23 More recently transesophageal echocardiography (TEE) has become an essential perioperative diagnostic and monitoring tool. 24 It provides direct visualization of the function and volume status of the heart.…”

Section: Hemodynamic Monitoringmentioning

confidence: 99%

Perioperative Monitoring in Liver Transplant Patients

Singh

Nasa

Tandon

2012

Journal of Clinical and Experimental Hepatology

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Liver transplant (LT) is a major surgical undertaking involving major fluid shifts, hemodynamic instability and metabolic derangements in a patient with preexisting liver failure and multisystemic derangements. Monitoring and organ support initiated in the preoperative phase is continued intraoperatively and into the postoperative phase to ensure an optimal outcome. As cardiovascular events are the leading cause of non-graft related death among LT recipients, major emphasis is placed on cardiovascular monitoring. The other essential monitoring are the continuous assessment of coagulapathy, extent of metabolic derangements, dyselectrolytemis and intracranial pressure monitoring in patients with fulminant hepatic failure. The type and extent of monitoring differs with need according to preexisting child status of the patient and the extent of systemic derangements. It also varies among transplant centers and is mainly determined by individual or institutional practices. ( J CLIN EXP HEPATOL 2012;2:271-278)

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Section: Hemodynamic Monitoringmentioning

confidence: 99%

Perioperative Monitoring in Liver Transplant Patients

Singh

Nasa

Tandon

2012

Journal of Clinical and Experimental Hepatology

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“…In recent years, noninvasive techniques such as lithium thermodilution is compared with PAC . Vigileo monitor is a good choice at low and normal CO, but is not appropriate for the hyperdynamic cirrhotic patients Biancofiore et al, 2009;Biais et al, 2008) (see also Future Directions for Circulatory Monitoring).…”

Section: Arterial Blood Pressurementioning

confidence: 99%

Anesthesia in Liver Transplantation

Kanbak¹,

Karagöz²,

Üzümcügil³

2012

Liver Transplantation - Basic Issues

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“…During the intraoperative and perioperative periods of liver transplant, which usually are performed for end-stage liver disease, 2 drastic alterations in physiological parameters, including tachycardia, metabolic or respiratory acidosis, hyperkalemia, and arrhythmias are often seen. 3,4 These also are the typical features of malignant hyperthermia.…”

Section: Introductionmentioning

confidence: 98%

A Malignant Hyperthermialike Episode in a Liver Transplant Recipient

Tsujikawa

Segawa²,

Fukuda³

2013

Exp Clin Transplant

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We report a case of malignant hyperthermialike syndrome in a living-donor liver transplant recipient with no familial history of malignant hyperthermia or exposure to known triggering drugs. The patient showed many features of a typical malignant hyperthermia episode, and The Clinical Grading Scale defined this case as almost certain to be an episode of malignant hyperthermia (rank 5). However, the diagnosis was questionable. The intraoperative and perioperative periods during liver transplant can involve drastic alterations of physiological parameters, which can make malignant hyperthermia difficult to diagnosis. The data we obtained using a pulmonary artery catheter suggest an intraoperative increase in systemic oxygen consumption.

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Evaluation of an uncalibrated arterial pulse contour cardiac output monitoring system in cirrhotic patients undergoing liver surgery

Abstract: In cirrhotic patients with hyperdynamic circulation, the Vigileo system showed a degree of error and unreliability higher than that considered acceptable for clinical purposes.

Cited by 159 publications

References 33 publications

Perioperative Monitoring in Liver Transplant Patients

Perioperative Monitoring in Liver Transplant Patients

Anesthesia in Liver Transplantation

A Malignant Hyperthermialike Episode in a Liver Transplant Recipient

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