Continuous arteriovenous haemodialysis during emergency hepatic retransplantation: two case reports
| Autor: | Dominique Robert, S. Workineh, M. Pouyet, M. P. Bailly, P. Gaussorgues, F. Salord |
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| Rok vydání: | 1990 |
| Předmět: |
Adult
Graft Rejection Male Reoperation medicine.medical_specialty Resuscitation medicine.medical_treatment Hemodynamics Liver transplantation Critical Care and Intensive Care Medicine Necrosis Postoperative Complications Anesthesiology medicine Humans Dialysis business.industry Liver Diseases Graft Occlusion Vascular Vascular surgery Acute Kidney Injury Middle Aged Surgery Liver Transplantation Transplantation Hemodialysis Hemofiltration business |
| Zdroj: | Intensive care medicine. 16(5) |
| ISSN: | 0342-4642 |
| Popis: | Two patients with severe hepatic and renal failure underwent emergency hepatic retransplantation (2nd and 6th day after transplantation). Continuous arteriovenous haemodialysis was begun before surgery and successfully performed, without any incident, during the retransplantation with a biospal (SCU/CAVH AN 69 S) device, without pump. Vascular access was obtained with femoral catheters. Such a continuous dialysis and ultrafiltration allowed us to infuse massive amounts of blood products before and during surgery and to maintain pH, potassium and lactate at levels compatible with survival in anuric patients. Standard haemodialysis replaced CAVHD when haemodynamic stability was restored. |
| Databáze: | OpenAIRE |
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