Significance of hypoxemia screening in candidates for liver transplantation: our experience

Transplantation Proceedings
A T MazzeoL B Santamaria

Abstract

Hepatopulmonary syndrome (HPS) is recognized as one of the causes of hypoxemia in patients with chronic liver disease. This complication is responsible for increased mortality and increased perioperative risk in liver transplantation candidates. Recent data from the literature suggest extending the screening for HPS to all candidates for liver transplantation. The aim of this retrospective study was to evaluate the incidence of hypoxemia among a population of patients awaiting liver transplantation. Using pulse oximetry as a screening tool for hypoxemia, 39 of 198 patients (20%) were hypoxemic. The results of this study confirmed the importance of screening for hypoxemia among patients awaiting liver transplantation. In these patients, a more accurate evaluation of respiratory function should be performed to confirm or exclude the diagnosis of HPS.

References

Aug 8, 1998·Journal of Hepatology·M K WhyteA K Burroughs
Sep 26, 2000·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·M B Fallon, G A Abrams
Jul 4, 2001·Journal of Hepatology·G P MartínezR Rodriguez-Roisin
Apr 20, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Gary A AbramsMichael B Fallon
Oct 1, 2003·Gastroenterology·Peter SchenkChristian Müller
Nov 2, 2004·The European Respiratory Journal·R Rodríguez-RoisinUNKNOWN ERS Task Force Pulmonary-Hepatic Vascular Disorders (PHD) Scientific Committee

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Citations

Dec 17, 2009·São Paulo Medical Journal = Revista Paulista De Medicina·Liana Gonçalves de Macêdo, Edmundo Pessoa de Almeida Lopes
Mar 4, 2008·Pediatrics·Khalid NoliSimon C Ling

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