• Lucas Cordoví de Armas, Rosa E Jiménez Paneque, Boris Gala López, Edin Ismael Rápalo Romero, Ydriss Añuez Castillo, and Marina Beatriz Vallongo Menéndez.
• Serviço de Anestesiologia, Hospital Clínico Quirúrgico Heramanos Ameijeiras. lucas@infomed.sld.cu
• Rev Bras Anestesiol. 2010 Mar 1;60(2):154-61, 88-92.

Background And ObjectivesThe revascularization of the graft remains as a crucial instant of the orthotopic liver transplantation (OLT) surgical procedure. About a third of the recipients suffer the postreperfusion syndrome (PRS), a combination of hypothermia, metabolic disorders and cardiovascular instability potentially leading to cardiac arrest. The objective of this study was to evaluate the speed-quality (SQR) of the graft;s reperfusion as an independent predictor of PRS.MethodsAll eligible patients receiving an OLT in our institution from 1987 to march 2009 were included. The adjusted OR for SQR-PRS association was obtained by means of logistic regression modeling including eight potential confounders.ResultsThe proportion of recipients suffering PRS was highest when the SQR was identified as good (75.8%) compared to those with middle or poor SQR; the relative risk comparing good SQR with poor SQR was 12.9 (CI 95%: 2.1-528.8). The adjusted OR was 132.9 (95% CI: 10.5-1688.6) when comparing good with bad SQR and 90.9 (95% CI: 13.8-645.2) when comparing good with intermediate SQR.ConclusionsAccording to our results, SQR can be considered an unambiguous predictor of PRS.

16 keywords...

hide…