Anesthetic management for Liver transplantatin : 4 cases.

Woo,  Seong Chang; Yoon,  Chang Sub; Kwon,  Jin Hyung; Lee,  Cheong; Suh,  Byung Te

doi:1993.26.5.1021

Case Report

Korean Journal of Anesthesiology 1993;26(5):1021-1028.
DOI: https://doi.org/10.4097/kjae.1993.26.5.1021

Anesthetic management for Liver transplantatin : 4 cases.

Seong Chang Woo, Chang Sub Yoon, Jin Hyung Kwon, Cheong Lee, Byung Te Suh

Department of Anesthesiology, Ulsan University College of Medicine, Ulsan, Korea.

Abstract

We managed four cases of anesthesia for liver transplantation from August, 1992 to January, 1993. Four recipients, all male patients and ages of 40th, were suffered from liver cirrhosis related to Chronic hepatitis B and one recipient (case 1) was diagnosed as combined hepatocellular carcinoma. Operation risks by Pugh's classification were 10 (case 1), 8 (case 2), 7 (case 3) and 12 (case 4). Duaration of anesthesia was in the range of 13 to 22.5 hours. Various hemodynamic monitorings were observed and anesthetic managements were uneveritful. C.O., SVR, temperature and coagulation factors were analyzed. 2 patients (case 1 & 4) were expired due to acute rejection (case 1) and primary non-function of the grafted liver (case 4) postoperatively.