title: [Effectiveness of continuous central venous oxymetry in living-donor liver transplantation with massive bleeding].
abstract: In living relative liver transplantation, patients are exposed to enormous stress and multifaced monitors are required to evaluate physiologic status of the patient such as blood volume, electrolytes balance, clotting ability and metabolic status including oxygen consumption. To maintain transplanted liver graft function, an adequate oxygen supply to the graft is one of the most important factors. Central venous oxygen saturation is minimally invasive and one of the most useful monitor to evaluate the oxygen demand and supply balance in the graft. A continuous central venous oximetry (PreSep, Edwards Lifesciences, Tokyo, JAPAN) was used. The use of the oxymetry to evaluate oxygen demand and supply balance in a living relative liver transplantation especially in a case of massive bleeding was very effective.
authors.affiliation: Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Hirosaki 036-8562.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Kawaguchi
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kushikata
authors.forename: Hajime
authors.initials: H
authors.lastname: Takase
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yoshida
authors.forename: Masatou
authors.initials: M
authors.lastname: Kitayama
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Hirota
mesh_terms: D016063:Blood Loss, Surgical; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D002648:Child; D005260:Female; D006085:Graft Survival; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control; D008103:Liver Cirrhosis / Q000601:surgery; D008113:Liver Neoplasms / Q000601:surgery; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010092:Oximetry; D010101:Oxygen Consumption