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Titolo:
EARLY TRACHEAL EXTUBATION AFTER LIVER-TRANSPLANTATION
Autore:
NEELAKANTA G; SOPHER M; CHAN S; PREGLER J; STEADMAN R; BRAUNFELD M; CSETE M;
Indirizzi:
UNIV CALIF LOS ANGELES,CTR HLTH SCI,MED CTR,DEPT ANESTHESIOL,BH-718 LOS ANGELES CA 90024
Titolo Testata:
Journal of cardiothoracic and vascular anesthesia
fascicolo: 2, volume: 11, anno: 1997,
pagine: 165 - 167
SICI:
1053-0770(1997)11:2<165:ETEAL>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Keywords:
TRACHEAL EXTUBATION; LIVER TRANSPLANTATION; INTENSIVE CARE UNIT; DISCHARGE TIME;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
2
Recensione:
Indirizzi per estratti:
Citazione:
G. Neelakanta et al., "EARLY TRACHEAL EXTUBATION AFTER LIVER-TRANSPLANTATION", Journal of cardiothoracic and vascular anesthesia, 11(2), 1997, pp. 165-167

Abstract

Objective: To assess the value and safety of tracheal extubation in the operating room at the end of liver transplantation. Design: Retrospective chart review. Setting: University Medical Center. Participants:Eighteen adult patients extubated in the operating room at the end ofliver transplantation (study patients) compared with 17 patients who were not extubated and had less than or equal to 3 U of blood transfused during liver transplantation (control patients). Interventions: Data collected include severity of preoperative liver disease, anesthetictechnique, use of venovenous bypass, surgical time, intraoperative blood replacement, core temperature and arterial blood gases on admission to the intensive care unit (ICU), times to discharge from ICU and the hospital. Measurements and Main Results: Except for age (43.9 +/- 2.7 in study patients v52.4 +/- 2.5 years; p = 0.03), patients were similar with regard to preoperative Child's-Pugh class and liver function tests. Study patients received more crystalloid in the OR (5,306 +/- 561 v3,771 +/- 454 mL; p = 0.04), were warmer (36.6 degrees C +/- 0.2 degrees C v35.6 degrees C +/- 0.3 degrees C; p = 0.01), had a lower arterial pH (7.29 +/- 0.01 v7.36 +/- 0.02; p = 0.003) and higher arterialcarbon dioxide tension (45 +/- 1 v35 +/- 2 mmHg; p < 0.001) on admission to ICU than controls. There were no significant differences between groups with regard to discharge times from the ICU (50.6 +/- 2.7 hours in the study group v61.2 +/- 4.7 in control group; p = 0.06), or discharge from the hospital (14.8 +/- 1.6 in the study group v21.3 +/- 3days in control group; p = 0.06). Conclusions: Tracheal extubation ofselected patients at the end of liver transplant surgery in the operating room is safe but did not result in decreased ICU or hospital stay. Copyright (C) 1997 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 10:51:48