Early postoperative intensive care in cadaveric liver transplantation: factors affecting the length of intensive care unit stay
Conference paper > Summary Text
Authors: S Ulukaya, HO Ayanoglu, E Olgun, AR Moral
Critical Care, , , International, Summary Text, WoS, vol 5, pp P252-P252
DOI: 10.1186/cc1317
Summary
The mean age of the patients was 36.6 ± 15.4 years (F:M 18/35). Preoperative mean Child–Pugh scores of the patients was 10.9 ± 2.3, the perioperative course had a mean operation time of 342 ± 113 min and a mean anhepatic period of 80 ± 36 min. Mean duration of MV and length of stay in ICU were 22 ± 22 hours and 50 ± 39 hours respectively. Factors on Table 1 prolonged the duration of MV and the length of ICU stay. The analysis of regression showed no correlation between duration of MV and/or the length of ICU stay with age, Child–Pugh scores, duration of operations and anhepatic periods, total protein, glucose and bilirubine levels, prothrombin times and the need for transfusion except for the SGOT ( r = 0.18, P < 0.001) and SGPT ( r = 0.22, P < 0.001) levels which caused longer durations of MV. During early postoperative course of the OLT patients, clinical factors such as presence of a hypoxemic and/or hypercapnic period, difficulties in weaning from MV, hemodynamic instability, increase in plasma urea and/or creatinine levels, decrease in plasma calcium levels, and postoperative fever might be indicative for a prolonged ICU stay and a possible increase in morbidity.