Measures of controlled low central venous pressure in major hepatectomy
10.3760/cma.j.cn113884-20200302-00106
- VernacularTitle:大部肝切除术中实现控制性低中心静脉压的具体措施
- Author:
Xiuzhen LIU
1
;
Mingying LI
;
Chaonan REN
;
Qiuhua ZHAO
;
Wenbing SUN
Author Information
1. 北京市石景山医院手术麻醉科，北京 100040
- From:
Chinese Journal of Hepatobiliary Surgery
2020;26(6):469-471
- CountryChina
- Language:Chinese
-
Abstract:
Major hepatectomy (MH) is a common treatment for benign and malignant liver diseases. Controlled low central venous pressure (CLCVP) is an important measure to reduce the intraoperative blood loss and transfusion requirement during MH. In this paper, the application standard of CLCVP at MH is discussed, and the specific measures to achieve CLCVP including fluid restriction, drug application, body gesture adjustment, reduction of tidal volume, suspension of respiratory ventilation, and infrahepatic inferior vena cava clamping (complete and partial) are systematically summarized.
