Neurological Complications
Conditions
Keywords
SMOF, neurological complications, neurotoxicity, liver transplantation, Lipid emulsions
Brief summary
To study the impact of pretreatment of living donor liver transplantation recipients with SMOF lipid on the incidence and severity of post-transplantation neurological complications in patients receiving tacrolimus based immunosuppression protocol
Detailed description
All patients included in the study will receive the same immuno-suppression protocol based on tacrolimus and mycophenolate mofetil after the induction immuno-suppression during the intra-operative period. Patients will have a full history taking and full neurological examination 48 hours prior to the designated operative date as a basal record. the control group will not receive any lipid infusions at all the treatment group will receive the study emulsion (SMOF lipid 20% - Fresenius Kabi) starting 48 hours before the planned surgery day and will continue to receive it for 5 post-operative days by intravenous infusion. During the post-operative period. patients will be assessed daily by full neurological examination as will as patient complaints (symptoms) related to neurological status for diagnosis of any neurological conditions (complications) that might arise during the study period. Data will be analysed compared to the basal value in each group and between both control and intervention groups using the appropriate statistical tests.
Interventions
Experimental Arm
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult living donor liver transplant recipients of either sex
Exclusion criteria
* MELD score \> 30 * Retransplantation * Budd Chiari syndrome * Diabetes more than 10 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post-transplant neurological complications | 5 post-operative days | Number of participants who develop neurological complications |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Graft functions | 5 post-operative days | the laboratory parameters for graft functions in both groups |
| survival | 30 days | one month mortality |
Countries
Egypt