Journal article
Anesthetic management of living liver donors
Canadian journal of anesthesia, v 46(8), pp 788-791
01 Aug 1999
PMID: 10451141
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
PurposeLiving organ donation is being performed with increasing frequency to overcome the shortage of organs for transplantation. Our experience in the anesthetic management of donors with relevant issues is discussed and complications encountered are recorded.MethodsData were collected retrospectively and analyzed on all 22 left lateral hepatectomies performed at our institution between 1993 to 1997 for transplantation.ResultsMajor ethical concern was the risk to the donors and anesthetic issues were those of a major abdominal procedure. All except four donors were parents (mother/father). Average blood loss was 805 ± 479 ml and only two donors required blood transfusion. Mean operative time was 8.2 ± 1.5 hr. Thoracic epidural analgesia was the most commonly adopted mode of pain relief. Average time to return of bowel sound postoperatively was 3.1 ± 1.0 days and was not influenced by the postoperative analgesic technique used. Total duration of hospital stay was 8.4 ± 1.1 days. Three donors developed minor postoperative complications atrial fibrillation and retained JP drain; left lower lobe pneumonia; and incisional hernia. All patients recovered uneventfully.ConclusionLiving organ donors contribute towards decreasing the shortage of organs for transplantation. Minimizing the discomfort associated with the surgical intervention and providing a complication-free perioperative course will positively influence the continued availability of such donations. On review of the first 22 left lateral hapatectomies performed, we observed only minor complications. Postoperative pain was a serious problem and thoracic epidural provided satisfactory analgesia.
Metrics
Details
- Title
- Anesthetic management of living liver donors
- Creators
- Dinesh K Choudhry - St. Christopher's Hospital for ChildrenRoy E Schwartz - St. Christopher's Hospital for ChildrenStephen A Stayer - St. Christopher's Hospital for ChildrenYuri Shevchenko - St. Christopher's Hospital for ChildrenMohamed Rehman - St. Christopher's Hospital for Children
- Publication Details
- Canadian journal of anesthesia, v 46(8), pp 788-791
- Publisher
- Springer Nature B.V
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000081865100014
- Scopus ID
- 2-s2.0-0032869161
- Other Identifier
- 991021838263104721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Anesthesiology