Anesthesia for liver transplantation from a maastricht category 4 non-heart-beating donor: A case report.
10.4097/kjae.2010.59.S.S119
- Author:
Sue Kyung YU
1
;
Gaab Soo KIM
;
Jun Young CHUNG
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gskim@skku.edu
- Publication Type:Case Report
- Keywords:
Liver transplantation;
Maastricht criteria;
Non-heart-beating donor (NHBD);
Warm ischemic time (WIT)
- MeSH:
Anesthesia;
Cold Ischemia;
Humans;
Immunosuppression;
Liver;
Liver Transplantation;
Living Donors;
Patient Selection;
Perioperative Care;
Tissue Donors;
Transplants;
Warm Ischemia
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S119-S123
- CountryRepublic of Korea
- Language:English
-
Abstract:
Great improvements in patient selection, surgical techniques, perioperative care, and immunosuppression have been made for the optimization of liver transplantation. To increase the number of organs available for liver transplantation, transplant centers have used marginal donors, split livers, living donors, or non-heart-beating donors (NHBDs). Despite recent enthusiasm for NHBDs in liver transplantation, warm ischemic injury to recovered organs has been an obstacle for the wide acceptance of NHBD. In the present case, we have conducted a liver transplantation from a Maastricht Category 4 NHBD. Warm ischemic time was 20 minutes and cold ischemic time was 5 hour 43 minutes. Consequently, the liver was successfully transplanted into the recipient.
