Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Jun 2001
[Anesthetic management of adult patients under orthotopic liver transplantation].
To study the perioperative changes of and anesthetic management for patient under orthotopic liver transplantation (OLT). ⋯ Attention should be paid to the anesthetic management and monitoring during different phases of OLT. Appropriate treatment helps to keep the blood gas, blood biochemistry and coagulation function remain normal and stable. Use of EVVB during anhepatic phase can be helpful to keep hemodynamics stable and prevent obvious acidosis and hyperkalemia. Supplementation of coagulation factors, and proper use of hemostatic drugs and protamine to neutralize heparin were needed. Anti-rejection drugs were necessary during OLT.