[Complications of liver transplant in intensive care. Experience in 130 cases].
Liver transplant is the first therapeutic choice in most of the advanced liver diseases. Nevertheless, its performance originates a number of complications derived from: a) conservation techniques of the organ (in our study a prolonged time of hot ischemia was significantly associated with); b) surgery (all patients who required massive blood transfusions developed metabolic alkalosis); c) the graft itself (all the F 1. degrees were significantly infected), and d) extrahepatic causes (cyclosporin was responsible for high blood pressure and nephrotoxicity which appeared as oliguria with good response to furosemide, as well as hyperglycemia). Some other relevant results in our series were: right pleural effusion and thrombopenia which appeared with a high incidence. Infections were usually originated the staphylococcus which grows in half of the cultures. We also want to highlight the short mean stay and the low mortality incidence in the ICU.
Cisneros Alonso
C
C
Departamento de Cuidados Intensivos, Hospital 12 de Octubre de la Seguridad Social, Madrid.
Montero Castillo
A
A
Moreno González
E
E
García García
I
I
Guillén Ramírez
F
F
García Fuentes
C
C
D000328:Adult; D001424:Bacterial Infections / Q000209:etiology; D003422:Critical Care; D005260:Female; D006084:Graft Rejection; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008171:Lung Diseases / Q000209:etiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Complicaciones del trasplante hepático en Cuidados Intensivos. Experiencia en 130 casos.