Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation

Y. G. Kang, D. J. Martin, J. Marquez, J. H. Lewis, F. A. Bontempo, B. W. Shaw, T. E. Starzl, P. M. Winter

Research output: Contribution to journalArticle

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Abstract

The blood coagulation system of 66 consecutive patients undergoing consecutive liver transplantations was monitored by thrombelastograph and analytic coagulation profile. A poor preoperative coagulation state, decrease in levels of coagulation factors, progressive fibrinolysis, and whole blood clot lysis were observed during the preanhepatic and anhepatic stages of surgery. A further general decrease in coagulation factors and platelets, activation of fibrinolysis, and abrupt decrease in levels of factors V and VIII occurred before and with reperfusion of the homograft. Recovery of blood coagulability began 30-60 min after reperfusion of the graft liver, and coagulability had returned toward baseline values 2 hr after reperfusion. A positive correlation was shown between the variables of thrombelastography and those of the coagulation profile. Thrombelastography was shown to be a reliable and rapid monitoring system. Its use was associated with a 33% reduction of blood and fluid infusion volume, whereas blood coagulability was maintained without an increase in the number of blood product donors.

Original languageEnglish (US)
Pages (from-to)888-896
Number of pages9
JournalAnesthesia and analgesia
Volume64
Issue number9
StatePublished - Nov 13 1985

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Blood Coagulation
Liver Transplantation
Thrombelastography
Reperfusion
Blood Coagulation Factors
Fibrinolysis
Factor V
Platelet Activation
Factor VIII
Blood Volume
Blood Donors
Allografts
Thrombosis
Transplants
Liver

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Kang, Y. G., Martin, D. J., Marquez, J., Lewis, J. H., Bontempo, F. A., Shaw, B. W., ... Winter, P. M. (1985). Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation. Anesthesia and analgesia, 64(9), 888-896.

Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation. / Kang, Y. G.; Martin, D. J.; Marquez, J.; Lewis, J. H.; Bontempo, F. A.; Shaw, B. W.; Starzl, T. E.; Winter, P. M.

In: Anesthesia and analgesia, Vol. 64, No. 9, 13.11.1985, p. 888-896.

Research output: Contribution to journalArticle

Kang, YG, Martin, DJ, Marquez, J, Lewis, JH, Bontempo, FA, Shaw, BW, Starzl, TE & Winter, PM 1985, 'Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation', Anesthesia and analgesia, vol. 64, no. 9, pp. 888-896.
Kang YG, Martin DJ, Marquez J, Lewis JH, Bontempo FA, Shaw BW et al. Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation. Anesthesia and analgesia. 1985 Nov 13;64(9):888-896.
Kang, Y. G. ; Martin, D. J. ; Marquez, J. ; Lewis, J. H. ; Bontempo, F. A. ; Shaw, B. W. ; Starzl, T. E. ; Winter, P. M. / Intraoperative changes in blood coagulation and thrombelastographic monitoring in liver transplantation. In: Anesthesia and analgesia. 1985 ; Vol. 64, No. 9. pp. 888-896.
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