JOURNAL ARTICLE
REVIEW

Renal replacement therapy before, during, and after orthotopic liver transplantation

Joanna Matuszkiewicz-Rowińska, Monika Wieliczko, Jolanta Małyszko
Annals of Transplantation: Quarterly of the Polish Transplantation Society 2013 May 31, 18: 248-55
23792528
Acute kidney injury (AKI) is a common complication of orthotopic liver transplantation (OLT) occurring both in the pre- and postoperative period. It significantly worsens prognosis. Performing renal replacement therapy (RRT) is difficult in these patients and may cause numerous problems. The patients usually remain in serious condition, are hemodynamically unstable, at risk of brain edema, and suffer from acidosis and electrolyte imbalance. They require multi-drug treatment, parenteral nutrition, and use of life support devices. Here, we present  the advantages and disadvantages of selected RRT methods, as well as problems associated with anticoagulation. We also discuss the possible extrarenal indications for RRT in liver transplant patients and the preliminary data on  intraoperative RRT.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
23792528
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"