Use of a heat exchanger in liver transplantation
| Autor: | Kevin T Butler, Steven A Raskin, Hartwell H Whisennand, William R Lowell, Joseph R Gay, Gary F Cornelius |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Hot Temperature medicine.medical_treatment Hypothermia 030204 cardiovascular system & hematology Neutropenia Liver transplantation Body Temperature 03 medical and health sciences 0302 clinical medicine Blood loss medicine Humans Radiology Nuclear Medicine and imaging Platelet Child Lead (electronics) Retrospective Studies Advanced and Specialized Nursing business.industry General Medicine medicine.disease Liver Transplantation Blood 030228 respiratory system Anesthesia medicine.symptom Cardiology and Cardiovascular Medicine business Safety Research |
| Zdroj: | Perfusion. 6:279-283 |
| ISSN: | 1477-111X 0267-6591 |
| DOI: | 10.1177/026765919100600407 |
| Popis: | Of the first 16 patients who underwent orthoptic liver transplantation, 81% were observed to be hypothermic at termination of bypass (x = 34.5 degrees C, n = 16). In response, an in-line heat exchanger was added to the bypass circuit. Subsequently, 72% of the next 11 patients terminated bypass normothermic (x = 38.2 degrees C, n = 11). By removing from the sample those patients who incurred low blood flows, 100% of the patients terminated bypass normothermic (x = 38.2 degrees C, n = 8). At temperatures of 30-33 degrees C cardiac arrhythmias have been observed. Hypothermia has been documented to cause thrombocytopenia and neutropenia which can lead to blood loss. These low counts are only partially reversible with platelet infusion and white blood cells (WBC). The use of an in-line heat exchanger during liver transplantation is essential in preventing hypothermia in our experience. |
| Databáze: | OpenAIRE |
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