Mortality Predictors After Liver Transplant in the Intensive Care Unit

Abstract

The time of mechanical ventilation, orotracheal reintubation, and the mortality given by APACHE II were the variables that best predicted death in this study.

The role of early extubation on short‐term outcomes after liver transplantation – A systematic review, meta‐analysis and expert recommendations

“…This led to a total of 20 articles included for final analysis (Figure 1). Of those, six (30%) were conference proceedings articles 20–25 . All of the included articles were observational studies, of which four were reported as prospective 22,26–28 and 16 retrospective studies 20,21,34–39,23–25,29–33 .…”

“…Of those, six (30%) were conference proceedings articles. [20][21][22][23][24][25] All of the included articles were observational studies, of which four were reported as prospective 22,[26][27][28] and 16 retrospective studies. 20,21,[34][35][36][37][38][39][23][24][25][29][30][31][32][33] Twelve of the 20 works compared one or more of the predefined early postoperative outcomes in early extubation versus deferred extubation cohorts.…”

“…Mortality after LT in early extubation cohorts ranged between 0% and 1% in six studies. 20,23,26,28,30,38 Ragonete et al 23…”

Combined B-type Natriuretic Peptide as strong predictor of short-term mortality in patients after Liver Transplantation

“…Several studies have reported predictive models for mortality after LT, including pretransplant MELD scores, and MELD-Na scores [4,[25][26][27][28]. The MELD scores well-known useful predictors of early mortality after LT, with higher MELD scores associated with higher mortality, although the MELD score was designed to estimate the survival in patients with elective placement of a trans-jugular intrahepatic portosystemic shunt for portal hypertension [29,30].…”

SUGAMMADEX versus neostigmine after ROCURONIUM continuous infusion in patients undergoing liver transplantation

“…However this fast track approach needs to fulfil some important criteria, such as haemodynamic and respiratory stability, no expected graft dysfunction, no large intraoperative blood loss, normal pH, normothermia, uncomplicated surgery, and good teamwork between surgeons, anaesthesiologists and intensivists [39]. Obviously, complete recovery from NMB to avoid respiratory failure due to PORC is mandatory and rocuronium-sugammadex use provides a valid option, especially because extubation failure after surgery and the need for reintubation represent an important mortality risk factor [40].…”