Predictors of High Intraoperative Blood Loss Derived by Simple and Objective Method in Adult Living Donor Liver Transplantation

被引：39

作者：

Bang, S. R. ^{[4
]}

Ahn, H. J. ^{[1
,2
]}

Kim, G. S. ^{[1
,2
]}

Yang, M. ^{[1
,2
]}

Gwak, M. S. ^{[1
,2
]}

Ko, J. S. ^{[1
,2
]}

Kim, S. H. ^{[1
,2
]}

Lee, S. K. ^{[3
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Anesthesiol, Seoul 135710, South Korea

[2] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Pain Med, Seoul 135710, South Korea

[3] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, Seoul 135710, South Korea

[4] Inje Univ, Sch Med, Haeundae Paik Hosp, Dept Anesthesiol & Pain Med, Pusan, South Korea

来源：

TRANSPLANTATION PROCEEDINGS | 2010年 / 42卷 / 10期

关键词：

TRANSFUSION REQUIREMENTS; ASCITES; DISEASE;

D O I：

10.1016/j.transproceed.2010.10.017

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

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) x (preoperative hematocrit in % - postoperative hematocrit in %) + (transfused leukocyte-depleted red blood cell in units x 213 x 70%) + (transfused Cell Saver blood in mL x 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.

引用

页码：4148 / 4150

页数：3

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