Liver Transplantation

Anesthesia Considerations in Liver Transplantation

Michael A.E. Ramsay


Table 1. Electrolyte changes with cell-saver processing

Banked PRBCs
Serum Values (Normals) In Vivo
Pre-CSP
Patient's Blood
In Vitro
Post-CSP
In Vivo
Post-CSP
Pre-CSP Post-CSP
Ammonia (15-40 µm/l) 85 40 43 693 92
Lactate (0.5-2.2 mm/l) 16.4 5.1 5.9 24.8 10.6
Potassium (3.5-5.0 meq/l) 4.2 1.1 3.6 >30 1.3

CSP = cell-saver processing; PRBC = packed red blood cells

Reprinted with permission from JB Lippincott Co., Philadelphia. Brown MR, Ramsay MAE, Swygert TH. Exchange autotransfusion using the cell saver during liver transplantation. Anesthesiology 1989;70:168-169.


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