Extubation score in the operating room after liver transplantation

Acta Anaesthesiologica Scandinavica
S SkurzakE Cerutti

Abstract

Early extubation after liver transplantation (LT) is an increasingly applied safe practice. The aim of the present study was to provide a simple extubation rule for accelerated weaning in the operating room (OR). Data of 597 patients transplanted at the LT center of Turin (Italy) were retrospectively analyzed. Fifty-two nonextubated patients (excluding those with a scheduled early reoperation) were compared with 545 successfully extubated patients (not in need of reintubation within the first 48 h). Significant variables at univariate analysis were entered into a logistic regression model and the regression coefficients of independent predictors were used to yield a prognostic score called the safe operating room extubation after liver transplantation (SORELT) score. Two major and three minor criteria were found. The major ones were blood transfusions (higher than/or equal to 7 U of packed red blood cells) and end of surgery lactate (higher than/or equal to 3.4 mmol/l). The minor ones were status before LT (home vs. hospitalized patient), duration of surgery (longer than/or equal to 5 h), vasoactive drugs at the end of surgery (dopamine higher than 5 microg/kg/min or norepinephrine higher than 0.05 microg/kg/min). Patients who ...Continue Reading

References

Apr 1, 1997·Journal of Cardiothoracic and Vascular Anesthesia·G NeelakantaM Csete
Jan 1, 1997·International Journal of Clinical & Laboratory Research·A De GasperiM C Grugni
Feb 24, 2001·Acta Anaesthesiologica Scandinavica·M GlanemannP Neuhaus
May 8, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P BibouletF d'Athis
Sep 12, 2001·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·G BiancofioreA Vagelli
Dec 18, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A SteibG Mahoudeau
Aug 1, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·James Y FindlayDavid J Plevak
Aug 1, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·M Susan MandellStacy Zamudio
Jun 27, 2003·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Javier F AduenCharles D Burger
Nov 2, 2004·Clinical Transplantation·Vinod K RustgiTamar H Taddei
Aug 27, 2005·European Journal of Anaesthesiology·G BiancofioreF Filipponi
Nov 22, 2005·Transplant International : Official Journal of the European Society for Organ Transplantation·Mauro SalizzoniMario Rizzetto
Oct 31, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·M Susan MandellIgal Kam

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Citations

Oct 23, 2012·Indian Journal of Anaesthesia·Amar NandhakumarTony T Chandy
Sep 23, 2014·Transplantation Proceedings·P FeltraccoC Ori
Sep 23, 2014·Korean journal of anesthesiology·Serin LeeChul Soo Park
Jan 10, 2018·Paediatric Anaesthesia·Harshad G GurnaneyMohamed A Rehman
Sep 19, 2015·World Journal of Hepatology·Stephen Aniskevich, Sher-Lu Pai
Aug 11, 2018·World Journal of Surgery·Raffaele BrustiaOlivier Scatton
Dec 31, 2020·Clinical Transplantation·Aphichat SuphathamwitChutwichai Tovikkai
Apr 23, 2021·Annals of Cardiac Anaesthesia·Rajiv JunejaNaresh Trehan
Apr 30, 2021·Brazilian Journal of Anesthesiology·Douaa G M IbrahimAmr M H Abdou
Jun 9, 2018·Transplantation Proceedings·A P Ragonete Dos Anjos AgostiniL C Martins

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