PERI-OPERATIVE MANAGEMENT OF HEMODYNAMICS IN LIVER TRANSPLANTATION
- VernacularTitle:肝脏移植围麻醉期血流动力学的监测与管理
- Author:
Zhuoqiang WANG
;
Xugui CHEN
;
Xiuzhe LIU
- Publication Type:Journal Article
- Keywords:
liver transplantation;
hemodynamics;
monitoring, intraoperative
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study was to investigate the management of hemodynamics during operation in patients undergoing orthotopic liver transplantation. Method Hemodynamic parameters were monitored during operation. Norepinephrine, epinephrine or dopamine, as well as nitroglycerin or PGE 1 were used in 21 cases to maintain a stable hemodynamics. Results Our data demonstrated that rational use of norepinephrine and epinephrine was beneficial in maintaining vital organ perfusion and improving tissue oxygenation. Compared with PGE 1, nitroglycerin was shown to be more controllable in lowering pulmonary artery hypertension, and notably, it significantly increased renal blood flow. Conclusion The results of this sudy indicated that in addition to fluid resuscitation, different combinations of vasoactive agents were beneficial in maintaining hemodynamic stability
