| Significance of ionized calcium during liver transplantation. | |
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MedLine Citation:
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PMID: 2800997 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In liver transplant patients low plasma protein, acid base abnormalities and high citrate concentrations in the blood affects the binding of ionized calcium. In the present study plasma ionized calcium as well as serum total plasma calcium were measured in ten patients undergoing liver transplantation because of end-stage liver failure. During the operation, ionized calcium fell to as low as 0.46 mmol/l although calcium chloride was administered frequently at doses of 10 mg/kg. Serum total calcium concentration values did not fall but rose well above normal at the end of the operation. The measuring of total serum calcium may thus be dangerously misleading in patients undergoing liver transplantation. |
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Authors:
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B Scheinin; R Orko; M L Lalla; K Höckerstedt; T M Scheinin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta anaesthesiologica Belgica Volume: 40 ISSN: 0001-5164 ISO Abbreviation: Acta Anaesthesiol Belg Publication Date: 1989 |
Date Detail:
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Created Date: 1989-11-07 Completed Date: 1989-11-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0421022 Medline TA: Acta Anaesthesiol Belg Country: BELGIUM |
Other Details:
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Languages: eng Pagination: 101-5 Citation Subset: IM |
Affiliation:
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Department of Anesthesia, Surgical Hospital, Helsinki University Central Hospital, Finland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Calcium
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blood* Calcium Chloride / administration & dosage Electrocardiography Graft Rejection* Hepatic Encephalopathy / surgery* Hepatitis, Chronic / surgery* Humans Hyperkalemia / blood Hypocalcemia / blood Intraoperative Complications / blood* Liver Cirrhosis, Biliary / surgery* Liver Transplantation* |
| Chemical | |
Reg. No./Substance:
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10043-52-4/Calcium Chloride; 7440-70-2/Calcium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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