13 October 2020 : Original article
Pediatric Liver Transplantation for Alagille Syndrome: Anesthetic Evaluation and Perioperative Management
Wen-He Yang1ABF, Liang Zhang1ABCDEF*, Fu-Shan Xue1ADG, Azmat Riaz2EF, Zhi-Jun Zhu345ADGDOI: 10.12659/AOT.924282
Ann Transplant 2020; 25:e924282
Table 3 Intraoperative management and postoperative outcomes.
Case | Fluid infusion (ml/kg/h) | Blood loss (ml/kg) | Urine output (ml/kg/h) | RBC (ml/kg) | FFP (ml/kg) | ICU stay (days) | Hospital stay (days) | Surgical complications | Re-operation | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
1 | 7.6 | 10.67 | 4.8 | 26.67 | 13.33 | 7.5 | 30 | HAT | None | Alive |
2 | 12.1 | 7.62 | 6.3 | 0 | 0 | 20 | 56 | BL, HVAS | Choledochojeju-nostomy | Alive |
3 | 13.6 | 38.89 | 6.8 | 33.33 | 0 | 3 | 30 | WI,WD | Exploratory laparotomy | Alive |
4 | 7.8 | 36.31 | 3.2 | 36.31 | 16.76 | 2.5 | 38 | None | None | Alive |
5 | 13.9 | 16.67 | 3.7 | 23.81 | 0 | 3.5 | 23 | None | None | Alive |
6 | 6.3 | 8.00 | 4.1 | 0 | 0 | 4.5 | 16 | None | None | Alive |
7 | 9.4 | 33.33 | 3.5 | 40.00 | 0 | 9 | 37 | IP | Exploratory laparotomy, IPR | Alive |
8 | 10.8 | 5.90 | 3.4 | 0 | 0 | 5 | 43 | None | None | Alive |
9 | 16.2 | 25.32 | 4.6 | 25.32 | 0 | 15 | 44 | IP | IPR | Alive |
10 | 19.7 | 31.75 | 7.9 | 31.75 | 0 | 2.5 | 51 | None | None | Alive |
11 | 9.2 | 14.71 | 3.7 | 11.76 | 0 | 7.5 | 21 | Roux-en-Y anastomotic bleeding | Exploratory laparotomy | Alive |
BL – bile leakage; FFP – fresh frozen plasma; HAT – hepatic artery thrombosis; HVAS – hepatic vein anastomotic stricture; ICU – Intensive Care Unit; IP – intestinal perforation; IPR – intestinal perforation repair; RBC – red blood cell; WD – wound dehiscence; WI – wound infection. |