<i>Keep the pressure!</i>Correlation of hemodynamic instability after reperfusion and severity of acute kidney injury following liver transplantation

Roller, Jonas; Glanemann, Matthias

doi:10.1111/tri.12948

Cited by 2 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…65,[69][70][71] Hemodynamic goals for patients undergoing LT are similar to those for the general population, and MAP maintenance during reperfusion should be prioritized. 65,72 Monitoring Cardiovascular monitoring during LT is usually performed with a pulmonary artery catheter (PAC) or transesophageal echocardiography (TEE). A recent survey of US LT centers reported that in 90.6% of centers, at least 1 practitioner routinely used TEE during LT.…”

Section: Arrhythmiasmentioning

confidence: 99%

See 1 more Smart Citation

Hemodynamic Instability During Liver Transplantation in Patients With End-stage Liver Disease: A Consensus Document from ILTS, LICAGE, and SATA

et al. 2021

View full text Add to dashboard Cite

Hemodynamic instability (HDI) during liver transplantation (LT) can be difficult to manage and increases postoperative morbidity and mortality. In addition to surgical causes of HDI, patient-and graft-related factors are also important. Nitric oxide-mediated vasodilatation is a common denominator associated with end-stage liver disease related to HDI. Despite intense investigation, optimal management strategies remain elusive.In this consensus article, experts from the International Liver Transplantation Society, the Liver Intensive Care Group of Europe, and the Society for the Advancement of Transplant Anesthesia performed a rigorous review of the most current literature regarding the epidemiology, causes, and management of HDI during LT. Special attention has been paid to unique LT-associated conditions including the causes and management of vasoplegic syndrome, cardiomyopathies, LT-related arrhythmias, right and left ventricular dysfunction, and the specifics of medical and fluid management in end-stage liver disease as well as problems specifically related to portal circulation. When possible, management recommendations are made.

show abstract

Section: Arrhythmiasmentioning

confidence: 99%

“…65,69-71 Hemodynamic goals for patients undergoing LT are similar to those for the general population, and MAP maintenance during reperfusion should be prioritized. 65,72…”

Section: Hemodynamic Instability During Liver Transplantationmentioning

confidence: 99%

Hemodynamic Instability During Liver Transplantation in Patients With End-stage Liver Disease: A Consensus Document from ILTS, LICAGE, and SATA

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Возникновение ОПП не зависит непосредственно от использования для трансплантации печени от доноров высокого риска (асистолические доноры или доноры старше 65 лет), а связано со степенью тяжести ее ишемического и реперфузионного повреждения [13,25]. J. Roller и M. Glanemann [44] обращают внимание на то, что для уменьшения вероятности развития ОПП при ТП необходима минимизация тепловой и холодовой ишемии донорской печени.…”

Section: донорские факторы рискаunclassified

“…Hilmi et al [25], наличие тяжелой нестабильной гемодинамики при реперфузии не влияет на частоту ОПП после ТП. Напротив, J. Roller и M. Glanemann [44] подчеркивают необходимость поддержания адекватного артериального давления во время реперфузии для уменьшения вероятности развития ОПП при ТП.…”

Section: интраоперационные факторы рискаunclassified

New trends in the study of post-transplant acute kidney injury after liver transplantation

Ильинский

Цирульникова

2020

RJTAO

View full text Add to dashboard Cite

Acute kidney injury (AKI) after liver transplantation (LT) is a pressing issue and remains the focus of many researchers. The etiology of AKI is multifactorial, but the main one is ischemia-reperfusion injury to the liver transplant. Numerous preoperative, intraoperative and postoperative risk factors contribute to the development of AKI. The use of standard classifications, such as AKIN, RIFLE and KDIGO, has improved post-transplant AKI diagnosis. However, determination of creatinine levels in the blood enables AKI diagnosis only in the later stages of this syndrome. Therefore, studies are currently underway to find ways of early diagnosis of AKI using biomarkers. Transition to a molecular level not only improves accuracy but also facilitates early diagnosis of AKI. Currently, the diagnostic capabilities of neutrophil gelatinase-associated lipocalin (NGAL) are the most investigated. To date, there are no known measures of preventing post-transplant AKI. Moreover, treatment of this condition cannot be considered satisfactory. Even a mild post-transplant AKI can be fatal. In severe AKI, where renal replacement therapy is used, there is a risk of death in the intensive care unit. More than half of AKI patients develop chronic kidney disease requiring chronic hemodialysis.

show abstract

Keep the pressure!Correlation of hemodynamic instability after reperfusion and severity of acute kidney injury following liver transplantation

Cited by 2 publications

References 8 publications

Hemodynamic Instability During Liver Transplantation in Patients With End-stage Liver Disease: A Consensus Document from ILTS, LICAGE, and SATA

Hemodynamic Instability During Liver Transplantation in Patients With End-stage Liver Disease: A Consensus Document from ILTS, LICAGE, and SATA

New trends in the study of post-transplant acute kidney injury after liver transplantation

Contact Info

Product

Resources

About