Anesthesia for pediatric orthotopic liver transplantation
Borland, L.M.; Roule, M.; Cook, D.R.
Anesthesia and Analgesia 64(2): 117-124
1985
ISSN/ISBN: 0003-2999 PMID: 3882019 Document Number: 251309
The anesthetic management of 68 liver transplantations in 50 pediatric patients is described. The surgical technique is briefly reviewed. The selection of an anesthetic technique was not as important as management of numerous intra-operative problems. Citrate intoxication secondary to massive blood transfusion in the hypothermic anhepatic patient is a major problem, as are coagulation deficiencies. Hyperkalemic cardiac arrest, also a significant hazard, produced the only intraoperative death.