Effect of low central venous pressure and phlebotomy on blood product transfusion requirements during liver transplantations.

Correction of coagulation defects with plasma transfusion did not decrease the need for intraoperative red blood cells (RBC) transfusions during liver transplantations. On the contrary, it led to a hypervolemic state that resulted in an increase of shed blood. As well, plasma transfusion has been associated with a decreased one-year survival rate.

Survival rate changes with transfusion of blood products during liver transplantation.

Purpose: To determine whether red blood cell (RBC) or plasma transfusion is associated with the one-year survival rate variation previously detected in liver transplantation.

Methods: A retrospective study of 206 consecutive liver transplantations was undertaken. Intraoperative transfusions of blood products were identified.

Transfusion predictors in liver transplant.

Unlabelled: In this study we sought to determine the factors influencing red blood cell (RBC) transfusions and to study the transfusion practice of anesthesiologists during liver transplants. A retrospective study of 206 successive liver transplants was undertaken during a period of 52 mo. Transfused blood products were identified.

A comparison of the effects of propofol-alfentanil versus isoflurane anesthesia on arterial oxygenation during one-lung ventilation.

Objective: To determine whether intravenous propofol-alfentanil anesthesia provides superior arterial oxygenation (Pao2) during one-lung ventilation (OLV) compared with isoflurane inhalation anesthesia.

Design: A prospective, randomized, cross-over study.

Setting: Tertiary-care university hospital.

Selective neuromuscular blockade for intraoperative electrocorticography.

Local anesthesia is advocated for cortical mapping in certain neurological procedures. Occasionally, however, a modified general anesthetic is necessary. We describe a technique of balanced anesthesia in which the arm opposite to the craniotomy is selectively isolated from the effect of the neuromuscular blocking agent and hence preserves its motor response to cortical stimulation.