500 Consecutive Liver Transplants: The Outcomes of a New Transplantation Program in the Middle West of Brazil

Watanabe, André Luís Conde; Feijó, Mateus Silva; Menezes, Vinícius Paulo Lima de; Galdino-Vasconcelos, Mayara Regina; Caballero, Jorge Luis Salinas; Ferreira, Gustavo de Sousa Arantes; Jorge, Fernando; Trevizoli, Natália; Díaz, Lourdes; Campos, Priscila Brizolla de; Caja, Gabriel Oliveira Nunes; Ullmann, Raquel; Figueira, Ana Virgínia Ferreira; Morato, Tiago Nóbrega; Moraes, Adriano Claudio Pereira de; Pereira, Juan Rafael Branez; Perosa, Marcelo

doi:10.1016/j.transproceed.2020.06.044

Cited by 2 publications

(1 citation statement)

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“…In this same study, the mean age was 56.8 years and the female sex represented 34.8%, in comparison with our study that the average age was 53 years and the female sex had a similar percentage of 35.4%. In a similar Brazilian study (8) , the most frequent aetiology of transplantation was ASH (31%), HCV (20.2%), NASH (14%), in this same study CHILD -B was the most frequent with 44.2%, compared to ours, which was CHILD -C with 53.1%. Regarding the MELD on the waiting list, they had an average of 21.6 points and, in our study, it ranged between 15 -20 points (47.8%).…”

Section: Discussionsupporting

confidence: 66%

Liver transplantation in the Intensive Care Unit: twenty years experience in a center medium income on Peru

Cabezas¹,

Martinez²,

Bermudez³

et al. 2021

Rev Gastroenterol Peru

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Liver transplantation is the major treatment for end-stage liver disease. Postoperative care is a great challenge to reduce morbidity and mortality in patients. In this sense, management in the liver ICU allows hemodynamic management, coagulation monitoring, renal support, electrolyte disturbances, respiratory support and early weaning from mechanical ventilation and evaluation of the liver graft. Objective: The present study shows the results of the management of liver transplant patients in 20 years of experience in a transplant center in a low- to middle-income country. Materials and methods: The medical records of 273 adult patients in the ICU in the immediate postoperative liver transplant were reviewed, from March 20, 2000 to November 30, 2020, including the effect of the pandemic caused by COVID-19. Liver-kidney, retransplanted, SPLIT, and domino transplant patients were excluded. Results: The most frequent etiology for LTx was NASH (35%), the mean age was 49 years, MELD Score ranged 15 - 20 (47.5%), 21 - 30 (46%) > 30 (6.2%). ICU pre transplant stay 7%, average ICU stay: 7.8 days. APACHE average admission: 14.9 points. Weaning extubation of 91.8% patients in ICU and Fast Track in 8.2%. The most frequent respiratory complication was atelectasis 56.3%, pneumonia (31.3%); AKI 1 (60.9%), and 11.1% with hemodyalisis support (AKI3). Immunosuppression: Tacrolimus (8.9%). Post-operative ICU mortality was 6.2%. Conclusions: The management of liver transplantation in the ICU is essential to achieve optimal results in patients who present advanced liver disease and require advanced life support in the immediate postoperative period and thus optimize graft survival.

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Section: Discussionsupporting

confidence: 66%