Cardiopulmonary arrest in liver transplantation surgery. perioperative beta-blockade implication in the cirrhotic patient

Liver transplantation (LT) has an incidence of intraoperative cardiopulmonary arrest (CPA) of around 5%. Patients who experience CPA during this procedure have a reduced survival rate of approximately 50%. Most CPA occur during the neohepatic phase due to reperfusion syndrome, but this is not always the underlying cause, and a broad differential diagnosis must be performed. We introduce the case of a cirrhotic patient who received beta-blocker therapy in the preoperative period and who experienced intraoperative CPA during liver transplantation surgery, which was successfully resolved through advanced cardiopulmonary resuscitation maneuvers and specific treatment for beta-blocker toxicity (calcium and glucagon). (c) 2024 Sociedad Espanola de Anestesiolog & imath;a, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.