Document Detail


Hemodynamics during liver transplantation.
MedLine Citation:
PMID:  17692637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Assessing the optimal volemia in the perioperative course of liver transplantation is a challenge for the anesthesiologist. Traditional estimates of intravascular volume status, such as pulmonary artery occlusion pressure (PAOP), have been widely shown to poorly correlate with changes in cardiac output among critically ill patients. Hence, there has been recent interest in alternative, catheter-related, bedside device volume estimates using thermodilution. Continuous end diastolic volume (CEDVI) showed better correlations with cardiac performance than cardiac filling pressures in studies performed in critically ill patients. When compared with conventional pressure-derived data, preload monitoring estimated as intrathoracic blood volume index (ITBVI) with the PiCCO system based on an integrated transpulmonary thermodilution technique better reflected left ventricular filling both in critically ill patients and those who underwent liver transplantation. Moreover, in liver transplantation, the use of transoesophageal echocardiography (TEE) has been increasing for it provides rapid visualization of the dimension and function of heart chambers as well as the left ventricular end diastolic area index (EDAI) that seem to correlate with graded acute hypovolemia, although its validity as on preload index is still under discussion.
Authors:
M G Costa; P Chiarandini; G Della Rocca
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  39     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-08-13     Completed Date:  2007-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1871-3     Citation Subset:  IM    
Affiliation:
Department of Anesthesia and Intensive Care Medicine, Azienda Ospedaliera Universitaria, University of Udine, Udine, Italy. gabriella.costa@med.uniud.it
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure
Humans
Hypovolemia
Liver Transplantation / physiology*
Monitoring, Intraoperative
Pulmonary Artery / physiology*
Pulmonary Circulation / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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