肝移植手术期间的心肺停止：肝硬化患者术后β -阻滞剂的影响

IF 0.9 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-02-01 DOI:10.1016/j.redar.2024.06.004

R.C. Vela Pascual, J.M. Pérez Peña, A. Elvira Rodríguez, M. Power Esteban, C. Jimeno Fernández, J.A. Varela Cabo

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引用次数: 0

摘要

肝移植（LT）术中心肺骤停（CPA）发生率约为5%。在此过程中经历CPA的患者存活率降低了约50%。大多数CPA发生在新肝期，由于再灌注综合征，但这并不总是潜在的原因，必须进行广泛的鉴别诊断。我们介绍一个在术前接受β受体阻滞剂治疗的肝硬化患者，并在肝移植手术中经历了术中CPA，通过先进的心肺复苏操作和β受体阻滞剂毒性（钙和胰高血糖素）的特异性治疗成功解决。

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Parada cardiorrespiratoria durante la cirugía de trasplante hepático: implicación del beta-bloqueo perioperatorio en el paciente cirrótico

Liver transplantation (LT) has an incidence of intraoperative cardiopulmonary arrest (CPA) of around 5%. Patients who experience CPA during this procedure have a reduced survival rate of approximately 50%.

Most CPA occur during the neohepatic phase due to reperfusion syndrome, but this is not always the underlying cause, and a broad differential diagnosis must be performed.

We introduce the case of a cirrhotic patient who received beta-blocker therapy in the preoperative period and who experienced intraoperative CPA during liver transplantation surgery, which was successfully resolved through advanced cardiopulmonary resuscitation maneuvers and specific treatment for beta-blocker toxicity (calcium and glucagon).

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