Liver Transplantation
Conditions
Brief summary
Liver transplantation poses challenges due to hemodynamic changes throughout different surgical phases. Monitoring devices are essential for therapeutic adjustments. Transpulmonary thermodilution and transesophageal echocardiography are commonly used, but thermodilution may have limitations depending on the surgery. This study aims to compare cardiac index variations between thermodilution and transesophageal echocardiography during liver transplantation. Patients undergo monitoring with both techniques. Measurements are recorded and reported at multiple time points.
Interventions
At 4 times of surgery, end-expiratory occlusion (EEO) test and measure of cardiac index before and after test with ETO and thermodilution
Visualisation of surgical anastomosis through transesophageal echocardiography : stenosis, doppler velocity, collar diameter
Sponsors
Study design
Eligibility
Inclusion criteria
* liver transplantation * adults
Exclusion criteria
* \- Oesophageal varice ligation \< 14 days * Mediastinal radiotherapy * Femoral bypass * Severe lower extremity artery disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiac index variation measured by thermodilution compared with transesophageal echography | At 4 times of surgery: after starting anesthesia, anhepatic phase, reperfusion and surgical anastomosis of biliary ducts. Data reported : - Cardiac Index before and after end-expiratory test. - Transoesophageal echography measurement of cardiac function |
Countries
France