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All Journal Jurnal Anestesi Perioperatif Bali Journal of Anesthesiology Majalah Anestesia dan Critical Care
Kapuangan, Christopher
Faculty of Medicine, Universitas Padjadjaran
Education Health Professions Medicine & Pharmacology Other

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Journal : Bali Journal of Anesthesiology

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Factors associated with the need for intraoperative packed red cells transfusion in pediatric liver transplant patients Kapuangan, Christopher; Utariani, Arie; Hanindito, Elizeus
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.652 KB) | DOI: 10.15562/bjoa.v3i1.143

Abstract

Background: Massive hemorrhage is one of the most common problems encountered during a liver transplantation procedure. Correction of the blood loss using packed red cells (PRC) is essential during the procedure to improve outcome. This retrospective study aims to investigate preoperative and intraoperative factors that may predict the PRC need.Materials and Methods: Thirty-four patients who underwent pediatric liver transplantation procedure within 2010-2018 were included in this study. Their medical record was examined and the data was analyzed using a comparison of mean and regression model.Results: The mean bleeding in this study was found to be 906.62±674.30 mL, while the mean PRC transfusion was 566.71±307.30 mL. Correction of blood loss was also compensated with other means such as a crystalloid or colloid fluid.Conclusion: This study statistically demonstrated that pre-operative weight, as well as bleeding volume, significantly affect the PRC transfusion requirement (p <0.05). However, other factors such as hemoglobin and surgical duration may also be clinically significant factors to predict PRC transfusion need.
Co-Authors Aktara, Betardi Alantas, Anas Andi Ade Wijaya Andria, Krisna Arif H. M. Marsaban Edwin, Fahmi Agnesha Elizeus Hanindito Manggala, Sidharta Kusuma Marsaban, Arif HM. Perdana, Aries Tantri, Aida Rosita Utariani, Arie Wardhani, Yosi Dwi Yulian, Anggadria Iqbal