ArticleKorean journal of anesthesiology2017
A case series on simultaneous liver and kidney transplantation: do we need intraoperative renal replacement therapy?
Article in Korean journal of anesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Simultaneous liver-kidney transplantation: A single-center experience in Korea.Annals of hepato-biliary-pancreatic surgery · 2020Article
- Intraoperative management of liver transplant recipients having severe renal dysfunction: results of 42 cases.Annals of surgical treatment and research · 2018Article
- Anesthetic management during the first combined heart-liver transplant performed in Korea: a case report.Korean journal of anesthesiology · 2017Article
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3 authors.
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Abstract
Since the implementation of the model for end-stage liver disease (MELD) scoring system in 2002, the liver transplantation (LT) society has observed a substantial increase in the number of recipients with renal dysfunction. Intraoperative renal replacement therapy (ioRRT) has emerged as one of the solutions available to manage high-MELD score recipients; however, its usefulness has not yet been proven. To date, we have experienced five cases of simultaneous liver and kidney transplantation (SLKT). Recipients of SLKT tend to have a lower pre-transplant kidney function and the longer operation time mandates a larger amount of fluid than LT alone. Hence, anesthetic care is more prone to be challenged by hyperkalemia, metabolic acidosis, and volume overload, making ioRRT a theoretically valuable intervention. However, in all five cases, recipients were managed without ioRRT, resulting in excellent graft and patient survival. As such, in this case series, we discuss current issues about ioRRT and SLKT.
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