Abstract
The rate of complications directly related to invasive monitors during liver transplantation (LT) was reviewed in 1206 consecutive adult LTs performed over 8.6 yr (1/1/2004-7/31/2012). The designated anesthesiologists placed intra-operative monitors, including two arterial catheters (via the radial and the right femoral arteries), central venous catheters (a 9 Fr. catheter and an 18 Fr. veno-venous bypass [VVB] return cannula in an internal jugular vein), a pulmonary artery catheter, and a transesophageal echocardiography (TEE) probe. A 17 Fr. VVB drainage cannula was placed via the left femoral vein. No Clavien-Dindo Grade V (death) or Grade IV (organ dysfunction) complication was identified. Nine Grade III complications (requiring surgical intervention) and 15 Grade II complications (conservative treatment) were noted. Seven (0.58% in 1206 cases) were related to a femoral arterial line with Grade III of four; seven (0.58%) were due to VVB return cannula in the femoral vein with Grade III of one; four (0.33%) were related to central venous catheters with Grade III of two; four (0.33%) were due to a TEE probe with Grade III of two; and two minor complications (0.17%) that were related to a radial arterial line. No complication was observed with a pulmonary arterial catheter. Current invasive monitors placed during LT have an acceptable risk.
| Original language | English |
|---|---|
| Pages (from-to) | 823-828 |
| Number of pages | 6 |
| Journal | Clinical Transplantation |
| Volume | 27 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Nov 2013 |
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Keywords
- Arterial line
- Central venous line
- Clavien-Dindo classification
- Intra-operative hemodynamic monitors
- Liver transplantation
- Postoperative complications
- Transesophageal echocardiography
- Veno-venous bypass
ASJC Scopus subject areas
- Transplantation
Cite this
Complications related to invasive hemodynamic monitors during adult liver transplantation. / Lu, Shu Y.; Matsusaki, Takashi; Abuelkasem, Ezeldeen; Sturdevant, Mark L.; Humar, Abhinav; Hilmi, Ibtesam A.; Planinsic, Raymond M.; Sakai, Tetsuro.
In: Clinical Transplantation, Vol. 27, No. 6, 11.2013, p. 823-828.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Complications related to invasive hemodynamic monitors during adult liver transplantation
AU - Lu, Shu Y.
AU - Matsusaki, Takashi
AU - Abuelkasem, Ezeldeen
AU - Sturdevant, Mark L.
AU - Humar, Abhinav
AU - Hilmi, Ibtesam A.
AU - Planinsic, Raymond M.
AU - Sakai, Tetsuro
PY - 2013/11
Y1 - 2013/11
N2 - The rate of complications directly related to invasive monitors during liver transplantation (LT) was reviewed in 1206 consecutive adult LTs performed over 8.6 yr (1/1/2004-7/31/2012). The designated anesthesiologists placed intra-operative monitors, including two arterial catheters (via the radial and the right femoral arteries), central venous catheters (a 9 Fr. catheter and an 18 Fr. veno-venous bypass [VVB] return cannula in an internal jugular vein), a pulmonary artery catheter, and a transesophageal echocardiography (TEE) probe. A 17 Fr. VVB drainage cannula was placed via the left femoral vein. No Clavien-Dindo Grade V (death) or Grade IV (organ dysfunction) complication was identified. Nine Grade III complications (requiring surgical intervention) and 15 Grade II complications (conservative treatment) were noted. Seven (0.58% in 1206 cases) were related to a femoral arterial line with Grade III of four; seven (0.58%) were due to VVB return cannula in the femoral vein with Grade III of one; four (0.33%) were related to central venous catheters with Grade III of two; four (0.33%) were due to a TEE probe with Grade III of two; and two minor complications (0.17%) that were related to a radial arterial line. No complication was observed with a pulmonary arterial catheter. Current invasive monitors placed during LT have an acceptable risk.
AB - The rate of complications directly related to invasive monitors during liver transplantation (LT) was reviewed in 1206 consecutive adult LTs performed over 8.6 yr (1/1/2004-7/31/2012). The designated anesthesiologists placed intra-operative monitors, including two arterial catheters (via the radial and the right femoral arteries), central venous catheters (a 9 Fr. catheter and an 18 Fr. veno-venous bypass [VVB] return cannula in an internal jugular vein), a pulmonary artery catheter, and a transesophageal echocardiography (TEE) probe. A 17 Fr. VVB drainage cannula was placed via the left femoral vein. No Clavien-Dindo Grade V (death) or Grade IV (organ dysfunction) complication was identified. Nine Grade III complications (requiring surgical intervention) and 15 Grade II complications (conservative treatment) were noted. Seven (0.58% in 1206 cases) were related to a femoral arterial line with Grade III of four; seven (0.58%) were due to VVB return cannula in the femoral vein with Grade III of one; four (0.33%) were related to central venous catheters with Grade III of two; four (0.33%) were due to a TEE probe with Grade III of two; and two minor complications (0.17%) that were related to a radial arterial line. No complication was observed with a pulmonary arterial catheter. Current invasive monitors placed during LT have an acceptable risk.
KW - Arterial line
KW - Central venous line
KW - Clavien-Dindo classification
KW - Intra-operative hemodynamic monitors
KW - Liver transplantation
KW - Postoperative complications
KW - Transesophageal echocardiography
KW - Veno-venous bypass
UR - http://www.scopus.com/inward/record.url?scp=84889084644&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84889084644&partnerID=8YFLogxK
U2 - 10.1111/ctr.12222
DO - 10.1111/ctr.12222
M3 - Article
C2 - 24033433
AN - SCOPUS:84889084644
VL - 27
SP - 823
EP - 828
JO - Clinical Transplantation
JF - Clinical Transplantation
SN - 0902-0063
IS - 6
ER -