title: Predictors of high intraoperative blood loss derived by simple and objective method in adult living donor liver transplantation.
abstract: We conducted a risk factor analysis for high intraoperative blood loss (IBL) in 555 living donor liver transplantation (LDLT) cases with a simple and objective method of IBL estimation based on the concept of red cell mass (RCM): Lost RCM (mL) = patient's estimated blood volume (mL) × (preoperative hematocrit in % - postoperative hematocrit in %) + (transfused leukocyte-depleted red blood cell in units × 213 × 70%) + (transfused Cell Saver blood in mL × 55%). Analysis of 33 preoperative variables revealed that Model for End-stage Liver Disease (MELD) score, albumin, the presence of ascites, and previous abdominal surgery were correlated with high IBL (lost RCM > 1000 mL) in multivariate logistical regression analysis. In conclusion, we found that MELD score, albumin, the presence of ascites, and previous abdominal surgery were significantly correlated with high IBL during adult LDLT.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: S R
authors.initials: SR
authors.lastname: Bang
authors.forename: H J
authors.initials: HJ
authors.lastname: Ahn
authors.forename: G S
authors.initials: GS
authors.lastname: Kim
authors.forename: M
authors.initials: M
authors.lastname: Yang
authors.forename: M S
authors.initials: MS
authors.lastname: Gwak
authors.forename: J S
authors.initials: JS
authors.lastname: Ko
authors.forename: S H
authors.initials: SH
authors.lastname: Kim
authors.forename: S K
authors.initials: SK
authors.lastname: Lee
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012307:Risk Factors