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《Practical Journal of Medicine & Pharmacy》 2015-01
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Swan-Ganz swift catheter used in the volume management at different time-points during piggyback liver transplantation

ZHENG Yong-shun;LIU Xiao-feng;WANG Er-dun;Dept. of Anesthesia,the 401st Hospital;  
Objective Through using Swan-Ganz swift catheter in monitoring the hemodynamic variables of piggyback liver transplantation patients to analyze the volume change at different time-points. Methods The 117 cases to be subjected to the liver transplantation were randomly divided into two groups :Group 1:moderately control the infusion of fluid and blood products. Group 2:infuse large volume of crystalloids,colloids and bloodbased products. Two groups all received vascular activated drugs to maintain their haemostatics. After successfully placed the Swan-Ganz swift catheter via internal jugular vein,CVP,PCWP,CO,RVEDV1,infusion volume,blood loss volume and urine output in following four time points:reoperation(T1),5min(T2). 30min(T3) after liver amputation,and 30min(T4) after the liver transplantation. Results The statistical difference significance is remarkable in the total input,output,hemodynamic variables between two groups(P0.05). Conclusion The large volume infusion in piggyback liver transplantation is not helpful to anesthesia management.
【CateGory Index】: R657.3
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