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Case Reports
. 2018 Feb 8;31(2):185-186.
doi: 10.1080/08998280.2017.1416238. eCollection 2018 Apr.

Dramatic change in cerebral oximetry during liver transplantation

Affiliations
Case Reports

Dramatic change in cerebral oximetry during liver transplantation

Semhar J Ghebremichael et al. Proc (Bayl Univ Med Cent). .

Abstract

We report dramatic changes in bilateral cerebral tissue oxygenation in a patient undergoing an orthotopic liver transplant coincident with clamping and subsequent restoration of flow through the inferior vena cava. Although hemodynamic stability was maintained with low-dose vasopressor support, cardiac output was decreased, suggesting preload dependence of the measured cerebral oxygenation. Further investigation is warranted in patients with end-stage liver disease and interruption of venous return.

Keywords: Cerebral oximetry; cerebral tissue oxygenation; end-stage liver disease; liver transplantation.

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Figures

Figure 1.
Figure 1.
Dramatic decrease in bilateral hemispheric cerebral oxygenation with application of inferior vena cava clamp and restoration after clamp release at reperfusion.

References

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