Prolonged post-reperfusion syndrome during multivisceral organ transplantation in a pediatric patient: a case report
Korean Journal of Anesthesiology 2014³â 66±Ç 6È£ p.467 ~ p.471
¹Ú¿ë¼®(Park Yong-Seok) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
¿ÀÁø¿µ(Oh Jin-Young) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
Ȳº¸¿µ(Hwang Bo-Young) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
¹®¿µÁø(Moon Young-Jin) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
ÀÌȹÌ(Lee Hwa-Mi) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
Ȳ±Ô»ï(Hwang Gyu-Sam) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
Abstract
Multivisceral organ transplantation involves the transplantation of three or more abdominal organs, including small bowel, duodenum, stomach, liver, pancreas, colon, and so on. The large amounts of cold and acidic loading into systemic circulation from the graft during multivisceral organ transplantation may result in severe post-reperfusion syndrome (PRS). We describe here a 6-year-old pediatric patient with chronic intestinal pseudo-obstruction who experienced prolonged PRS and severe metabolic acidosis during seven abdominal organ transplantation including the liver, spleen, stomach, duodenum, small bowel, colon and pancreas. The hypotensive period lasted approximately 10 minutes after graft reperfusion and was accompanied by severe metabolic acidosis and hypothermia. Since PRS can be easily associated with adverse outcomes, such as poor early graft function and primary non-function, not only meticulous surveillance for aggravating factors for PRS but also their immediate correction were necessary in managing a pediatric patient undergoing multivisceral organ transplantation.
Å°¿öµå
Intestine, Liver, Metabolic acidosis, Primary graft dysfunction, Reperfusion, Transplantation
KMID :
0356920140660060467
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