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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

Semhar J Ghebremichael  1 , Srikanth Sridhar  1 , Sara Guzman-Reyes  1 , Evan G Pivalizza  1
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.
See this image and copyright information in PMC

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