Anesthetic Management Using Low Fraction of Inspiratory Oxygen for Living Donor Liver Transplantation in a Patient With Hepatopulmonary Syndrome Complicated by Interstitial Pneumonia: A Case Report
| Autor: | Noboru Harada, Keiko Nobukuni, Taichi Nagano, Keita Takahashi, Ken Yamaura, Kazuya Imura, Tomoharu Yoshizumi, Shoichi Sasaki, Midoriko Higashi |
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| Rok vydání: | 2021 |
| Předmět: |
Cardiac output
Exacerbation chemistry.chemical_element Oxygen Hypoxemia Liver disease Living Donors medicine Humans Hypoxia Hepatopulmonary syndrome Aged Anesthetics Transplantation business.industry medicine.disease Liver Transplantation chemistry Anesthesia Female Surgery Limiting oxygen concentration medicine.symptom Lung Diseases Interstitial Living donor liver transplantation business Hepatopulmonary Syndrome |
| Zdroj: | Transplantation Proceedings. 53:2556-2558 |
| ISSN: | 0041-1345 |
| DOI: | 10.1016/j.transproceed.2021.08.007 |
| Popis: | Background Hepatopulmonary syndrome frequently complicates end-stage liver disease. It causes hypoxemia and requires oxygen administration. Additionally, interstitial pneumonia causes hypoxemia; however, it is known to be aggravated by high-concentration oxygen administration. Case Presentation A 71-year-old woman with hepatopulmonary syndrome and interstitial pneumonia underwent living donor liver transplantation, requiring conflicting management in terms of the inspiratory oxygen concentration. We achieved a low intraoperative fraction of inspiratory oxygen by increasing the cardiac output with intravenous catecholamines. As a result, the transplanted liver functioned well postoperatively, and the patient was discharged without exacerbation of the interstitial pneumonia. Conclusion We suggest that patients with hepatopulmonary syndrome complicated with interstitial pneumonia can undergo successful living donor liver transplantation without the use of high inspiratory oxygen concentration by using catecholamines to maintain a high mixed venous oxygen saturation. |
| Databáze: | OpenAIRE |
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