1. Cardiopulmonary arrest in liver transplantation surgery: Perioperative beta-blockade implication in the cirrhotic patient.
- Author
-
Vela Pascual RC, Pérez Peña JM, Elvira Rodríguez A, Power Esteban M, Jimeno Fernández C, and Varela Cabo JA
- Subjects
- Humans, Intraoperative Complications prevention & control, Intraoperative Complications etiology, Male, Middle Aged, Perioperative Care methods, Cardiopulmonary Resuscitation methods, Liver Transplantation, Heart Arrest etiology, Heart Arrest therapy, Liver Cirrhosis complications, Liver Cirrhosis surgery, Adrenergic beta-Antagonists therapeutic use
- Abstract
Liver transplantation (LT) has an incidence of intraoperative cardiopulmonary arrest (CPA) of around 5%. Patients who experience CPA during this procedure have a reduced survival rate of approximately 50%. Most CPAs occur during the neohepatic phase due to reperfusion syndrome, but this is not always the underlying cause, and a broad differential diagnosis must be performed. We introduce the case of a cirrhotic patient who received beta-blocker therapy in the preoperative period and who experienced intraoperative CPA during LT surgery, which was successfully resolved through advanced cardiopulmonary resuscitation (CPR) maneuvers and specific treatment for beta-blocker toxicity (calcium and glucagon)., Competing Interests: Declaration of competing interest The authors have no conflicts of interest to declare., (Copyright © 2024 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.) more...
- Published
- 2025
- Full Text
- View/download PDF