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Anesthetic Management Using Low Fraction of Inspiratory Oxygen for Living Donor Liver Transplantation in a Patient With Hepatopulmonary Syndrome Complicated by Interstitial Pneumonia: A Case Report.
Takahashi, Keita; Imura, Kazuya; Nobukuni, Keiko; Sasaki, Shoichi; Nagano, Taichi; Harada, Noboru; Yoshizumi, Tomoharu; Higashi, Midoriko; Yamaura, Ken.
Afiliación
  • Takahashi K; Department of Anesthesiology, Kyushu University Hospital, Fukuoka, Japan.
  • Imura K; Department of Anesthesiology, Kyushu University Hospital, Fukuoka, Japan.
  • Nobukuni K; Department of Anesthesiology, Kyushu University Hospital, Fukuoka, Japan.
  • Sasaki S; Department of Anesthesiology, Kyushu University Hospital, Fukuoka, Japan.
  • Nagano T; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Harada N; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Yoshizumi T; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Higashi M; Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Electronic address: higashi.midoriko.976@m.kyushu-u.ac.jp.
  • Yamaura K; Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Transplant Proc ; 53(8): 2556-2558, 2021 Oct.
Article en En | MEDLINE | ID: mdl-34465421
BACKGROUND: Hepatopulmonary syndrome frequently complicates end-stage liver disease. It causes hypoxemia and requires oxygen administration. Additionally, interstitial pneumonia causes hypoxemia; however, it is known to be aggravated by high-concentration oxygen administration. CASE PRESENTATION: A 71-year-old woman with hepatopulmonary syndrome and interstitial pneumonia underwent living donor liver transplantation, requiring conflicting management in terms of the inspiratory oxygen concentration. We achieved a low intraoperative fraction of inspiratory oxygen by increasing the cardiac output with intravenous catecholamines. As a result, the transplanted liver functioned well postoperatively, and the patient was discharged without exacerbation of the interstitial pneumonia. CONCLUSION: We suggest that patients with hepatopulmonary syndrome complicated with interstitial pneumonia can undergo successful living donor liver transplantation without the use of high inspiratory oxygen concentration by using catecholamines to maintain a high mixed venous oxygen saturation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trasplante de Hígado / Enfermedades Pulmonares Intersticiales / Síndrome Hepatopulmonar / Anestésicos Tipo de estudio: Etiology_studies Límite: Aged / Female / Humans Idioma: En Revista: Transplant Proc Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trasplante de Hígado / Enfermedades Pulmonares Intersticiales / Síndrome Hepatopulmonar / Anestésicos Tipo de estudio: Etiology_studies Límite: Aged / Female / Humans Idioma: En Revista: Transplant Proc Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos