• Anesthesia and analgesia · Nov 2010

    Case Reports

    Case report: pediatric liver retransplantation on an extracorporeal membrane oxygenation-dependent child.

    • Ira S Landsman and Christopher J Karsanac.
    • Department of Anesthesiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, USA. ira.landsman@vanderbilt.edu
    • Anesth. Analg. 2010 Nov 1; 111 (5): 1275-8.

    AbstractWe describe the perioperative management of a venovenous extracorporeal membrane oxygenator-dependent child requiring liver retransplantation after emergent hepatectomy because of an ischemic liver graft. This child required renal replacement and inotropic support as well as treatment for heparin-induced thrombocytopenia (HIT). We describe each step in this child's perioperative management leading to the successful liver retransplantation. This is the first description, to our knowledge, of a pediatric patient undergoing liver transplantation while supported by extracorporeal membrane oxygenation (ECMO).

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