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The authors report their experience with orthotopic liver transplantation in 8 adults and 6 children operated during a 14 months period. The anesthetic technique is described and three points of it are underlined: Renal failure is prevented by a systematic low-dose dopamine infusion added to optimal preloading and mannitol given during the anhepatic phase. Donor liver flush via the portal vein with lactated Ringer's solution is checked by serial measurements of K+ concentration in the fluid draining from the infrahepatic vena cava: the flush is assumed adequate if that K+ level is less than 10 mmoles/l. The risk of air embolism at the time of unclamping is minimized by discontinuing N2O, adding a mild PEEP and placing the patient in Trendelenburg position. The values of hemodynamic and metabolic measurements are given and discussed. There was no peroperative mortality.
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
June 2001,
Zhonghua yi xue za zhi,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
January 2011,
Korean journal of anesthesiology,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
May 2002,
Transplantation proceedings,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
August 1994,
Transplantation proceedings,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
January 1974,
Revista espanola de anestesiologia y reanimacion,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
June 1989,
Transplantation proceedings,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
October 2005,
Pediatric transplantation,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
June 2021,
Transplantation proceedings,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
December 1997,
Acta anaesthesiologica Sinica,
F Veyckemans, and
M Carlier, and
J L Scholtes, and
J M Gouverneur, and
L Decocq, and
B F Gribomont, and
J B Otte, and
P J Kestens, and
B de Hemptinne, and
M Reynaert
February 1985,
Anesthesia and analgesia,
