Dextrose in the banked blood products does not seem to affect the blood glucose levels in patients undergoing liver transplantation.
OBJECTIVE
Hyperglycemia commonly seen in liver transplantation (LT) has often been attributed to the dextrose in the storage solution of blood transfusion products. The purpose of the study is to compare the changes of the blood glucose levels in transfused and non-transfused patients during LT.


METHODS
A retrospective study on 60 biliary pediatric patients and 16 adult patients undergoing LT was carried out. Transfused pediatric patients were included in Group I (GI), those not transfused in Group II (GII). Twelve adult patients were not given transfusion and assigned to Group III (GIII); whereas, four adult patients who received massive transfusion were assigned to Group IV (GIV). The blood glucose levels, volume of blood transfused, and the volume of crystalloid infused were recorded, compared and analyzed.


RESULTS
Results showed that the changes in blood glucose levels during LT for both non-transfused and minimally transfused pediatric groups and non-transfused and massively-transfused adult groups were almost the same.


CONCLUSIONS
We conclude that blood transfusion does not cause significant changes in the blood glucose levels in this study.
Cheng
Kwok-Wai
KW
Department of Anesthesiology, Chang Gung Memorial Hospital, Ta-Pei Road 123, Niao Shung Hsiang, Kaohsiung, Taiwan, China.
Chen
Chao-Long
CL
Cheng
Yu-Fan
YF
Tseng
Chia-Chih
CC
Wang
Chih-Hsien
CH
Chen
Yaw-Sen
YS
Wang
Chih-Chi
CC
Huang
Tung-Liang
TL
Eng
Hock-Liew
HL
Chiu
King-Wah
KW
Wang
Shih-Hor
SH
Lin
Chih-Che
CC
Lin
Tsan-Shiun
TS
Liu
Yueh-Wei
YW
Jawan
Bruno
B
D000328:Adult; D001771:Blood Banks; D001786:Blood Glucose / Q000378:metabolism*; D001803:Blood Transfusion; D005947:Glucose / Q000008:administration & dosage / Q000494:pharmacology*; D006801:Humans; D016031:Liver Transplantation; D008875:Middle Aged; D011310:Preservatives, Pharmaceutical / Q000737:chemistry*; D012189:Retrospective Studies
D001786:Blood Glucose; D011310:Preservatives, Pharmaceutical; D005947:Glucose