Anesthetic management of both the early anhepatic phase and the early reperfused phase of the innovative orthotopic liver taransplantation

Objective To study the hemodynamic changes and anesthetic management of both the early anhepatic phase and the early reperfused phase of the innovative orthotopic liver transplantation.Methods Thirteen end-stage liver disease patients received liver transplantation.MAP,HR,CVP,PAP and urinary output were continuously monitored.Results The hemodynamics was stable in the perioperated phase.MAP,CVP and PAP mildly decreased while HR mildly increased in the early anhepatic phase.In the early reperfused phase,CVP and PAP increased while MAP and HR were as same as before the anhepatic phase.Conclusion The volum replacement therapy,the rational use of anti-acidosis and the calcium suppplement were beneficial to maintaining hemodynamic stability in the early anhepatic phase or the early reperfused phase of the innovative orthotopic liver transplantation.