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

Surgery Today volume 43, pages 777–781 (2013)Cite this article

An Erratum to this article was published on 31 July 2013

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.

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Authors and Affiliations

  1. Department of Anesthesiology, The Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong County, Chongqing, 400016, China

    Bin Wang, Hua-kai He, Bo Cheng, Ke Wei & Su Min

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  1. Bin Wang
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  2. Hua-kai He
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  3. Bo Cheng
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  4. Ke Wei
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Correspondence to Su Min.

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Wang, B., He, Hk., Cheng, B. et al. Effect of low central venous pressure on postoperative pulmonary complications in patients undergoing liver transplantation. Surg Today 43, 777–781 (2013). https://doi.org/10.1007/s00595-012-0419-y

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Keywords

  • Liver transplantation
  • Low central venous pressure
  • Pulmonary complication
  • Blood loss
  • Transfusion