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Living donor liver transplantation with noninvasive ventilation for exertional heat stroke and severe rhabdomyolysis
Author(s) -
Takahashi Kenichi,
Chin Kazuo,
Ogawa Kohei,
Kasahara Mureo,
Sakaguchi Takanori,
Hasegawa Satoshi,
Sumi Kensuke,
Nakamura Takaya,
Tamaki Akira,
Mishima Michiaki,
Nakamura Takashi,
Tanaka Koichi
Publication year - 2005
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.20400
Subject(s) - medicine , rhabdomyolysis , liver transplantation , stroke (engine) , transplantation , intubation , anesthesia , mechanical ventilation , coma (optics) , surgery , mechanical engineering , physics , optics , engineering
A 16‐year‐old male with exertional heat stroke (EHS) had extensive hepatocellular damage, severe rhabdomyolysis, renal failure, and coma. Hemodiafiltration was started on day 2 and living donor liver transplantation was performed on day 3. He received continuous mechanical ventilation with intubation before and after the surgery. As his mental status improved, he could not tolerate intubation, and he was extubated on postoperative day (POD) 26. He received facial noninvasive positive pressure ventilation until POD 50. Hemodiafiltration was discontinued on POD 52. He was discharged on POD 67 and is currently well more than a year after transplantation. A literature search indicates that this patient is the first long‐term survivor (>1 year) after liver transplantation for exertional heat stroke. (Liver Transpl 2005;11:570–572.)