Plasma ionized calcium monitoring during liver transplantation

Plasma ionized calcium and citrate concentrations were measured in 11 patients undergoing liver transplantation. During the anhepatic phase of the procedure, ionized calcium concentrations fell to as low as 40% of normal, in spite of calcium supplementation. Simultaneously, citrate concentrations ro...

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Veröffentlicht in:	Transplantation 1986-03, Vol.41 (3), p.335-339
Hauptverfasser:	GRAY, T. A, BUCKLEY, B. M, SEALEY, M. M, SMITH, S. C. H, TOMLIN, P, MCMASTER, P
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Calcium - blood Citrates - blood Humans Ions Liver - surgery Liver Transplantation Liver, biliary tract, pancreas, portal circulation, spleen Magnesium - blood Medical sciences Potassium - blood Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Time Factors
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Beschreibung
Zusammenfassung:	Plasma ionized calcium and citrate concentrations were measured in 11 patients undergoing liver transplantation. During the anhepatic phase of the procedure, ionized calcium concentrations fell to as low as 40% of normal, in spite of calcium supplementation. Simultaneously, citrate concentrations rose to between 20 and 100 times preoperative levels. In two patients low plasma ionized calcium concentrations were associated with hypotension that responded to calcium infusion. Intraoperative monitoring of plasma ionized calcium during liver transplantation is helpful in the rational control of the patient's calcium status.
ISSN:	0041-1337 1534-6080
DOI:	10.1097/00007890-198603000-00010