Is There Any Difference in Anesthetic Management of Biliary Atresia and Glycogen Storage Disease Patients Undergoing Liver Transplantation?
| Autor: | Tsan Shiun Lin, Tung Liang Huang, Yaw Sen Chen, Hock Liew Eng, Yueh Wei Liu, King-Wah Chiu, Chih-Che Lin, Bruno Jawan, Chia Chih Tseng, Shir Hor Wang, Yu Fan Cheng, Chao-Long Chen, Chih Chi Wang |
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| Rok vydání: | 2005 |
| Předmět: |
Blood Glucose
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Adolescent medicine.medical_treatment Liver transplantation Biliary Atresia Biliary atresia Monitoring Intraoperative medicine Humans Glycogen storage disease Anesthesia Child Retrospective Studies business.industry Infant Retrospective cohort study Glycogen Storage Disease medicine.disease Liver Transplantation Surgery Transplantation Dissection Child Preschool Anesthetic Fluid Therapy business Perfusion medicine.drug |
| Zdroj: | Journal of Surgical Research. 126:82-85 |
| ISSN: | 0022-4804 |
| Popis: | Background The purpose of the study was to compare the intraoperative blood glucose changes and the dosage of glucose infused between biliary atresia and glycogen storage disease (GSD) patients undergoing living donor liver transplantation (LDLT). Patients and methods The anesthesia records of biliary atresia and GSD patients undergoing LDLT were reviewed retrospectively. The levels of intraoperative blood glucose before operation, after induction of anesthesia, in the dissection, anhepatic, 10 min after reperfusion, and at the end of operation, as well as the dosage glucose infused, were compared between groups. The Mann-Whitney U test was used for statistical analysis; P Results Seventy-two biliary atresia patients were grouped into group I (GI) and 8 GSD patients into group II (GII). The blood glucose levels of both groups increased after operation and remained hyperglycemic, around 100–300 mg/dl, until the end of the operation. The mean glucose amounts infused were 2.7 ± 1.9 and 2.5 ± 1.15 mg/kg/min for GI and GII, respectively. Conclusion No significant difference was found in the anesthetic management between groups. The only difference was that the GSD patients required continuous glucose supply the night before the operation, while biliary atresia patients did not. |
| Databáze: | OpenAIRE |
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