PiCCO Monitoring in Pediatric Patients Undergoing Liver Transplantation
Zeynep Ersoy, Aycan Özdemirkan, Pınar Zeyneloğlu, Arash Pirat, Adnan Torgay, Zeynep Kayhan, Mehmet Haberal,
BaşkentGazi Üniversitesi Hastanesi
Introduction: Monitoring the cardiopulmonary system of pediatric liver transplant recipients (PLTR) during surgery using PiCCO (pulse contour cardiac output) system is reflective of ongoing hemodynamic response to intraoperative maneuvers. We aim to compare the intraoperative and postoperative parameters with hemodynamic volumetric parameters monitored by PiCCO system in PLTR. Materials and Methods: A retrospective analysis of PLTR from September 2014 to October 2017 was done. The demographic, laboratory and perioperative data were collected. Transpulmonary thermo dilutions were performed at different times of surgery: at the beginning of surgery (To); before hepatectomy and after selective vascular exclusion (Tanhepatic); new hepatic phase (Tend). Hemodynamic volumetric parameters monitored by the PiCCO system were mean arterial pressure (MAP), cardiac index (CI), intrathoracic blood volume index (ITBVI), extravascular lung water index (EVLWI), systemic vascular resistance index (SVRI) and stroke volume variability (SVV). Results: 41 pediatric patients (aged 4 mo to 17 yrs) underwent hemodynamic monitoring with PiCCO during LT. Measurements including CI, CVP and MAP were significantly lower during Tanhepatic phase when compared to To and Tend phases (p
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