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Complications related to invasive hemodynamic monitors during adult liver transplantation
Author(s) -
Lu Shu Y.,
Matsusaki Takashi,
Abuelkasem Ezeldeen,
Sturdevant Mark L.,
Humar Abhinav,
Hilmi Ibtesam A.,
Planinsic Raymond M.,
Sakai Tetsuro
Publication year - 2013
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12222
Subject(s) - medicine , cannula , catheter , surgery , arterial catheter , femoral artery , femoral vein , complication , arterial line , transplantation , pulmonary artery catheter , pulmonary artery , hemodynamics , anesthesia , cardiac output
The rate of complications directly related to invasive monitors during liver transplantation ( LT ) was reviewed in 1206 consecutive adult LT s 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.