Dramatic change in cerebral oximetry during liver transplantation
- PMID: 29706813
- PMCID: PMC5914474
- DOI: 10.1080/08998280.2017.1416238
Dramatic change in cerebral oximetry during liver transplantation
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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