title: A case of post-reperfusion syndrome following surgery for liver trauma.
abstract: We report the case of a young trauma patient who needed tight perihepatic surgical packing to control bleeding from a ruptured liver. He developed severe cardiovascular and respiratory decompensation on removal of the surgical packs as a result of the post-reperfusion syndrome. He underwent a total hepatectomy and, 35 h later, orthotopic liver transplantation. The pathophysiology of post-reperfusion syndrome is discussed, and its importance to anaesthetists in the non-transplant setting is emphasized.
authors.affiliation: Department of Anaesthetics, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
authors.forename: S K
authors.initials: SK
authors.lastname: Kodakat
authors.forename: R
authors.initials: R
authors.lastname: Ginsburg
authors.forename: P B
authors.initials: PB
authors.lastname: Gopal
authors.forename: M
authors.initials: M
authors.lastname: Rela
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D006498:Hepatectomy; D006801:Humans; D007431:Intraoperative Complications; D008099:Liver / Q000293:injuries* / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D015427:Reperfusion Injury / Q000209:etiology* / Q000601:surgery; D013577:Syndrome; D013630:Tampons, Surgical