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- Title
Prolonged post-reperfusion syndrome during multivisceral organ transplantation in a pediatric patient.
- Authors
Yong-Seok Park; Jin-Young Oh; Bo Young Hwang; Youngjin Moon; Hwa-Mi Lee; Gyu-Sam Hwang
- Abstract
Multivisceral organ transplantation involves the transplantation of three or more abdominal organs, including small bowel, duodenum, stomach, liver, pancreas, colon, and so on. The large amounts of cold and acidic loading into systemic circulation from the graft during multivisceral organ transplantation may result in severe post-reperfusion syndrome (PRS). We describe here a 6-year-old pediatric patient with chronic intestinal pseudo-obstruction who experienced prolonged PRS and severe metabolic acidosis during seven abdominal organ transplantation including the liver, spleen, stomach, duodenum, small bowel, colon and pancreas. The hypotensive period lasted approximately 10 minutes after graft reperfusion and was accompanied by severe metabolic acidosis and hypothermia. Since PRS can be easily associated with adverse outcomes, such as poor early graft function and primary non-function, not only meticulous surveillance for aggravating factors for PRS but also their immediate correction were necessary in managing a pediatric patient undergoing multivisceral organ transplantation.
- Subjects
TRANSPLANTATION of organs, tissues, etc.; SMALL intestine; DUODENUM; ACIDOSIS; PEDIATRICS
- Publication
Korean Journal of Anesthesiology, 2014, Vol 66, Issue 6, p467
- ISSN
2005-6419
- Publication type
Article
- DOI
10.4097/kjae.2014.66.6.467