Trends in mechanical ventilation and immediate extubation after liver transplantation in a single center in Chile

Transplantation Proceedings
M QuirogaM Rius

Abstract

Some groups have reported early extubation post-liver transplantation in patients with previously defined criteria, in an attempt to shorten the ICU stay and decrease costs. We review our experience with trends in mechanical ventilation and resource utilization. We retrospectively reviewed the length of mechanical ventilation, ICU stay, hospital stay, transfusions, and costs of liver transplants performed since the program's inception in 1993 and 2002 including 82 OLT in 71 patients. We also report our experience with immediate postoperative extubation, which we have done from October to December of 2002. We compare different periods: the early days (1993 to 1997), namely, fewer than 10 OLT per year, with the subsequent years assessed individually. There has been a progressive decrease over time in the length of mechanical ventilation, ICU stay, hospital stay, and costs. Since the program's inception actuarial adult patient 1- and 5-year survival rates were 88.7% and 78%, respectively. The 1-year survival rate increased to 97% during the period of 2000 to 2002 (n = 30). From October to the present, we extubated four of seven adult patients who met criteria with none of them requiring reintubation. We demonstrate improved result...Continue Reading

References

Feb 24, 2001·Acta Anaesthesiologica Scandinavica·M GlanemannP Neuhaus
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
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
Aug 1, 2002·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Mike Lindop

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Citations

Dec 13, 2012·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Jian WuShu-Sen Zheng
Oct 2, 2007·Journal of Cardiothoracic and Vascular Anesthesia·M Susan Mandell, Yannan Hang
Aug 13, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Karina RandoJohn Klinck
Mar 29, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·John E ScarboroughTheodore N Pappas
Sep 19, 2015·World Journal of Hepatology·Stephen Aniskevich, Sher-Lu Pai
Mar 20, 2021·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Ravi BhatiaMichael Spiro

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