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Surgery Today

, Volume 43, Issue 7, pp 777–781 | Cite as

Effect of low central venous pressure on postoperative pulmonary complications in patients undergoing liver transplantation

  • Bin Wang
  • Hua-kai He
  • Bo Cheng
  • Ke Wei
  • Su MinEmail author
Original Article

Abstract

Purpose

To investigate the effect of the low central venous pressure (LCVP) technique on postoperative pulmonary complications in patients undergoing liver transplantation.

Methods

Sixty-five adult patients were randomly divided into a LCVP group (n = 33) and a control group (n = 32). The CVP was maintained below 5 mmHg or 40 % lower than baseline in the LCVP group, by manipulating the patient’s posture, limiting infusion volume, and administration of nitroglycerine. Recipients in the control group received standard care. The volume of intraoperative blood loss and transfusion, and postoperative pulmonary complications of the two groups were compared.

Results

The LCVP group had a significantly earlier tracheal extubation (33 ± 33 vs. 53 ± 36 h, P < 0.05), and lower rate of postoperative pulmonary complications (42.8 vs. 71.4 %, P < 0.05) in comparison to the control group. The most frequent complication was pleural effusion (28.5 vs. 67.8 %, P < 0.05), followed by pneumonia (24.2 vs. 57.1 %, P < 0.05) and pulmonary edema (3.1 vs. 14.3 %, P < 0.05).

Conclusions

The LCVP technique during liver transplantation could decrease postoperative pulmonary complications.

Keywords

Liver transplantation Low central venous pressure Pulmonary complication Blood loss Transfusion 

Notes

Conflict of interest

None.

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Copyright information

© Springer Japan 2012

Authors and Affiliations

  • Bin Wang
    • 1
  • Hua-kai He
    • 1
  • Bo Cheng
    • 1
  • Ke Wei
    • 1
  • Su Min
    • 1
    Email author
  1. 1.Department of AnesthesiologyThe Affiliated Hospital of Chongqing Medical UniversityChongqingChina

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