13 October 2020: Original Paper
Pediatric Liver Transplantation for Alagille Syndrome: Anesthetic Evaluation and Perioperative Management
Wen-He Yang 1ABF* , Liang Zhang 1ABCDEF* , Fu-Shan Xue 1ADG* , Azmat Riaz 2EF , Zhi-Jun Zhu 345ADG*DOI: 10.12659/AOT.924282
Ann Transplant 2020; 25:e924282
Table 2 Intraoperative hemodynamics, electrolyte, and blood gas measurements.
| Variables | Anesthetic induction | Anhepatic phase | Post-reperfusion | End of operation |
|---|---|---|---|---|
| HR (bpm) | 109.0±6.3 | 127.8±7.8 | 116.0±7.3 | 107.4±5.9 |
| SAP (mm Hg) | 90.2±2.8 | 95.1±3.9 | 64.3±2.6# | 93.9±1.6 |
| CVP (mm Hg) | 5.7±0.7 | 5.2±0.8 | 4.6±0.9 | 7.2±0.8 |
| pH | 7.35±0.1 | 7.35±0.2 | 7.29±0.2 | 7.36±0.2 |
| PaCO (mm Hg) | 39.5±1.8 | 36.5±1.4 | 41.4±1.2* | 41.8±1.7 |
| PaO (mm Hg) | 299.9±10.3 | 314.8±8.9 | 293.0±8.7 | 360.9±9.5 |
| BE (mmol/L) | −3.6±1.1 | −4.9±1.2 | −5.9±1.2 | −2.1±0.7 |
| HCO (mmol/L) | 21.7±1.1 | 20.5±1.0 | 20.1±0.9 | 23.1±0.6 |
| Na (mmol/L) | 133.3±1.1 | 137.6±1.2# | 139.3±1.1# | 144.3±1.0# |
| K (mmol/L) | 3.9±0.2 | 4.0±0.2 | 3.7±0.2 | 4.2±0.1 |
| Ca (mmol/L) | 1.18±0.02 | 1.11±0.04 | 1.14±0.06 | 1.08±0.03# |
| GLU (mmol/L) | 6.0±0.8 | 7.5±1.2 | 9.5±1.5 | 8.9±1.0 |
| LAC (mmol/L) | 0.8±0.1 | 2.2±0.2# | 3.8±0.4# | 2.6±0.3# |
| HCT (%) | 28.4±1.3 | 28.3±1.5 | 27.0±2.2 | 28.5±1.3 |
| # Compared with variables after anesthetic induction ( * Compared with variables before reperfusion ( BE – base excess; Ca – serum calcium concentration; CVP – central venous pressure; GLU – blood glucose concentration; HCT – hematocrit; HR – heart rate; K – serum potassium concentration; LAC – blood lactate concentration; SAP – systolic arterial pressure; Na – serum sodium concentration; PaCO – arterial carbon dioxide pressure; PaO – arterial oxygen pressure. | ||||