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Ionized calcium levels during liver transplantation.
Ickx, B; Walker, S; Farman, J V.
Afiliación
  • Ickx B; Department of Anaesthesia, Addenbrooke's Hospital, Cambridge, United Kingdom.
Eur J Anaesthesiol ; 4(6): 421-7, 1987 Nov.
Article en En | MEDLINE | ID: mdl-3328683
Plasma ionized calcium and total calcium concentrations were measured during 26 liver transplant operations. The level of ionized calcium decreased during the early part of the operation, reaching its lowest point during the anhepatic period, but rose again after revascularization of the new liver. Calcium chloride was given with the aim of reversing these decreases, which were associated with the use of blood products preserved in citrate-phosphate-dextrose anti-coagulant-containing adenine (CPD-A). Ionic hypocalcaemia is a result of intra-operative citrate loading in the presence of poor or absent (during the anhepatic phase) liver function; aggressive correction of low ionized calcium levels, especially during the early stages of the operation, is required to prevent this effect.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcio / Trasplante de Hígado Tipo de estudio: Etiology_studies Límite: Adult / Child / Humans Idioma: En Revista: Eur J Anaesthesiol Asunto de la revista: ANESTESIOLOGIA Año: 1987 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Buscar en Google
Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcio / Trasplante de Hígado Tipo de estudio: Etiology_studies Límite: Adult / Child / Humans Idioma: En Revista: Eur J Anaesthesiol Asunto de la revista: ANESTESIOLOGIA Año: 1987 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido