Renal dysfunction in the perioperative liver transplant period.
OBJECTIVE
Acute kidney failure in the perioperative liver transplant recipients results in an increased hospital length of stay, acute rejection, infection rate and overall mortality. Thus, it is of great importance to be able to recognize, prevent and treat kidney injury.


RESULTS
Immediate post liver transplant kidney dysfunction is increased in those with pretransplant kidney failure, hepato-renal syndrome, intraoperative hypotension, intraoperative hypovolemia, aprotinin use and those requiring transfusion of more units of blood products or needing to return to the operating room.


CONCLUSIONS
To date, avoiding risky clinical situations, maintaining homeostasis and a multidisciplinary approach to care have been reasonable approaches to decrease the incidence of postoperative acute kidney injury.
Biancofiore
Gianni
G
Liver Anesthesia and Critical Care Medicine, Azienda Ospedaliera Universitaria Pisana, Cisanello Hospital, Pisa, Italy. g.biancofiore@med.unipi.it
Davis
Connie L
CL
D001706:Biopsy; D006530:Hepatorenal Syndrome / Q000209:etiology; D006801:Humans; D007432:Intraoperative Period; D007668:Kidney / Q000473:pathology; D008107:Liver Diseases / Q000150:complications / Q000601:surgery*; D016031:Liver Transplantation; D019990:Perioperative Care; D011300:Preoperative Care; D051437:Renal Insufficiency / Q000150:complications* / Q000473:pathology / Q000628:therapy; D017582:Renal Replacement Therapy