A case of post-reperfusion syndrome following surgery for liver trauma |
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| Authors: | Kodakat S K Ginsburg R Gopal P B Rela M |
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| Affiliation: | 1 Department of Anaesthetics and 2 Department of Transplant Surgery, King's College Hospital, Denmark Hill, London SE5 9RS, UK. 3 Department of Anaesthesia, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK. 4 101, Heritage Banjara, Rd No 3, Banjara Hills, Hyderabad 500 034, India |
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| Abstract: | We report the case of a young trauma patient who needed tightperihepatic surgical packing to control bleeding from a rupturedliver. He developed severe cardiovascular and respiratory decompensationon removal of the surgical packs as a result of the post-reperfusionsyndrome. He underwent a total hepatectomy and, 35 h later,orthotopic liver transplantation. The pathophysiology of post-reperfusionsyndrome is discussed, and its importance to anaesthetists inthe non-transplant setting is emphasized. |
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| Keywords: | complications, intra-operative complications, ischaemia-reperfusion injury complications, post-reperfusion syndrome complications, abdominal compartment syndrome liver, hepatectomy liver, trauma |
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