title: ANESTHETIC MANAGEMENT DURING COMBINED LIVER AND KIDNEY TRANSPLANTATION.
abstract: Combined liver and kidney transplantation is a highly demanding and challenging procedure for anesthesiologists due to the lengthy and complicated nature of the procedure, the critical patient condition and the need to balance the intravascular volume to maintain the venous outflow of the hepatic allograft and also the diuresis of the renal allograft. Intravascular volume management and coagulation control, seem to be the most important issues during combined liver and kidney transplantation. There is sparsity of data in the literature concerning the anesthetic and fluid management in CLKT. We present and discuss the anesthetic management in a case series in three patients, who underwent combined liver and kidney transplantation in our institution during the last two years.
authors.forename: Amr
authors.initials: A
authors.lastname: El Kouny
authors.forename: Mohammed
authors.initials: M
authors.lastname: Harbi
authors.forename: Hesham
authors.initials: H
authors.lastname: Ismail
authors.forename: Chadi
authors.initials: C
authors.lastname: Abouras
authors.forename: Abdulatif
authors.initials: A
authors.lastname: Basha
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Abojeesh
authors.forename: Annas
authors.initials: A
authors.lastname: Naeim
authors.forename: Sami
authors.initials: S
authors.lastname: Kashkoush
authors.forename: Abdullah
authors.initials: A
authors.lastname: Khalid
authors.forename: Wael
authors.initials: W
authors.lastname: Ohali
authors.forename: Vassilios
authors.initials: V
authors.lastname: Dimitriou
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods*; D001779:Blood Coagulation Factors / Q000627:therapeutic use; D002496:Central Venous Pressure; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged
chemical_list: D001779:Blood Coagulation Factors; C025667:prothrombin complex concentrates