Infusion-transfusion therapy and correction of water–electrolyte disorders in simultaneous liver fragment transplantation and kidney retransplantation (clinical case)
D. I. Novikov,
A. Yu. Zaitsev,
O. E. Kut’ina,
A. V. Filin,
A. K. Zokoev,
A. V. Metelin,
S. V. Shchkaturov,
M. Ya. Khalimov https://doi.org/10.24884/2078-5658-2023-20-5-54-61
Abstract
A clinical case of simultaneous surgery in the volume of transplantation of the left lateral sector of the liver and kidney retransplantation from one living related donor to a 10-year-old girl with cirrhosis of the liver and after transplantectomy of the donor kidney is presented. The child born in 2013 was transferred to program hemodialysis in 2015 as a result of the development of end-stage chronic kidney disease (CKD) in the outcome of congenital kidney dysplasia. In October 2022, renal replacement therapy was started as a result of a relapse of end-stage CKD. In January 2023, she suffered purulent cystitis. 02.24.2023 – transplantectomy. 05.05.2023, simultaneous transplantation of the left lateral sector of the liver and kidney allotransplantation from a living related donor were performed. Anesthesiologists faced a serious problem in the form of the selection of adequate infusion therapy, taking into account the combination of two surgical interventions that radically differ in the tactics of anesthesiological support, as well as the correction of water – electrolyte disorders in the complete absence of diuresis throughout the fifteen-hour surgical intervention
About the Authors
D. I. Novikov
Russian Surgery Research Center named after B. V. Petrovsky
Russian Federation
Russian Federation
Novikov Denis I. - Intensivist of Anesthesiology and Intensive Care Department I
2, Abrikosovsky per., Moscow, 119991
A. Yu. Zaitsev
Russian Surgery Research Center named after B. V. Petrovsky; I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Zaitsev Andrey Yu. - Dr. of Sci. (Med.), Head of Anesthesiology and Intensive Care Department I; Associate Professor of Anesthesiology and Intensive
Care Department
Russian Surgery Research Center named after B. V. Petrovsky, 2, Abrikosovsky per., Moscow, 119991
Sechenov University, 8, Trubeckaya str., Moscow, 119991
O. E. Kut’ina
Russian Surgery Research Center named after B. V. Petrovsky
Russian Federation
Russian Federation
Kut’ina Olga E. - Intensivist, Anesthesiology and Intensive Care Department I
2, Abrikosovsky per., Moscow, 119991
A. V. Filin
Russian Surgery Research Center named after B. V. Petrovsky
Russian Federation
Russian Federation
Filin Andrey V. - Dr. of Sci. (Med.), Head of Liver Transplantation Department
2, Abrikosovsky per., Moscow, 119991
A. K. Zokoev
Russian Surgery Research Center named after B. V. Petrovsky
Russian Federation
Russian Federation
Zokoev Alan K. - Dr. of Sci. (Med.), Head of Kidney Transplantation Department
2, Abrikosovsky per., Moscow, 119991
A. V. Metelin
Russian Surgery Research Center named after B. V. Petrovsky
Russian Federation
Russian Federation
Metelin Alexey V. - Surgeon of Liver Transplantation Department
2, Abrikosovsky per., Moscow, 119991
S. V. Shchkaturov
Russian Surgery Research Center named after B. V. Petrovsky
Russian Federation
Russian Federation
Shchkaturov Stanislav V. - Urologist, Kidney Transplantation Department
2, Abrikosovsky per., Moscow, 119991
M. Ya. Khalimov
I. M. Sechenov First Moscow State Medical University
(Sechenov University)
Russian Federation
Russian Federation
Khalimov Mikhail Ya. - 6th-year Student
8, Trubeckaya str., Moscow, 119991
References
1. Galstyan G.M., Polevodova O.A., Yakovleva E.V. et al. Rotation thromboelastometry for the diagnosis of factor deficiency and management of the hemostatic therapy in patients with inherited coagulation disorders. Hematology and Transfusiology, 2019, vol. 64, no. 3, pp. 297–316. Doi: 10.35754/0234-5730-2019-64-3-297-316.
2. Zabolotskikh I., Sinkov S., Lebedinsky K. et al. Perioperative management of patients with hemostasis system disorders. Russian Journal of Anaesthesiology and Reanimatology, 2018, vol. 2, no. 1, pp. 58–81. Doi: 10.17116/anaesthesiology201801-02158.
3. Anesthesia and intensive care for related transplantation of left-lateral section of the liver in children up to 3 years. Transplantology, 2013, no. 2, pp. 13–16.
4. Petrushina E.V., Kaabak M.M., Pinchuk A.V. KDIGO’s practical clinical guide to the management of patients after kidney transplantation. Transplantology, no. 3, 2015, pp. 79–88.
5. Strokov A.G., Pos Ya.L. Anticoagulation in renal replacement therapy: classical approaches and new possibilities. Bulletin of Transplantation and artificial organs, 2010, no. 12, pp. 80–85. Doi: 10.15825/1995-1191-2010-4-80-85.
6. Altshuler P.J., Shah A., Frank A. et al. Simultaneous liver kidney allocation policy and the Safety Net: an early examination of utilization and outcomes in the United States. Transplant international: official journal of the European Society for Organ Transplantation, 2021, vol. 34, no. 6, pp. 1052–1064. Doi: 10.1111/tri.13891.
7. Bodzin A.S., Baker T.B. Liver Transplantation today: where we are now and where we are going. Liver transplantation : official publication of the american association for the Study of Liver Diseases and the International Liver Transplantation Society, 2018, vol. 24, no. 10, pp. 1470–1475. Doi: 10.1002/lt.25320.
8. Carter H. F. Intraoperative Red Blood Cell Transfusion in Infant Heart Transplant Patients Is Not Associated with Worsened Outcomes. Anesthesia and Analgesia, 2016, vol. 122, no. 5, pp. 1567–1577. Doi: 10.1213/ANE.0000000000001241.
9. Chang A., Schaubel D., Chen M. et al. Trends and outcomes of hypothermic machine perfusion preservation of kidney allografts in simultaneous liver and kidney transplantation in the United States. Transplant international: official journal of the European Society for Organ Transplantation, 2022, no. 35, pp. 10345. Doi: 10.3389/ti.2022.10345.
10. Cuenca A.G., Kim H.B., Vakili K. Pediatric liver transplantation. Seminars in Pediatric Surgery, 2017, vol. 26, no. 4, pp. 217–223. Doi: 10.1053/j.sempedsurg.2017.07.014.
11. Foo M.W.Y., Htay H. Innovations in peritoneal dialysis. Nature Reviews Nephrology, 2020, no. 10, pp. 548–549. Doi: 10.1038/s41581-020-0283-12.
12. Heerden Y.Van., Maher H., Etherage H. et al. Outcomes of paediatric liver transplant for biliary atresia. South African journal of surgery, 2019, vol. 57, no. 3, pp. 17–23. PMID: 31392860.
13. Hepatology T.L.G. Liver transplantation in the USA: ethical issues. The Lancet Gastroenterology & Hepatology, 2020, vol. 5, no. 1, pp. 1. Doi: 10.1016/S2468-1253(19)30386-3.
14. Hughes D.L., Sharma P. Simultaneous liver-kidney transplantation following standardized medical eligibility criteria and creation of the safety net: less appears to be more. Liver transplantation: official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2021, vol. 27, no. 8, pp. 1089–1091. Doi: 10.1002/lt.26182.
15. Lacquaniti A., Campo S., Casuscelli et al. Acute and chronic kidney disease after pediatric liver transplantation: An underestimated problem. Clinical transplantation, 2020, vol. 34, no. 11, pp. e14082. Doi: 10.1111/ctr. 14082.
16. Lobo B.L. Use of newer anticoagulants in patients with chronic kidney disease. American Journal of Health Systematic Pharmacology, 2007, vol. 64, no. 19, pp. 2017–2026. Doi: 10.2146/ajhp060673.
17. Marsac L., Michelet D., Sola C. et al. A survey of the anesthetic management of pediatric kidney transplantation in France. Pediatric transplantation, 2019, vol. 23, no. 6, pp. e13509. Doi: 10.1111/petr.13509.
18. Nair G., Nair V. Simultaneous liver-kidney transplantation. Clinics in liver disease, 2022, vol. 26, no. 2, pp. 313–322. Doi: 10.1016/j.cld.2022.01.011.
19. Novikov D.I., Zaitsev A.Yu., Filin A.V. et al. Living-related liver retransplantation in a child: when it seems impossible (a clinical case). Messenger of Anesthesiology and Resuscitation, 2022, vol. 19, no. 4, pp. 97–102. Doi: 10.21292/2078-5658-2022-19-4-97-102.
20. Roitman E.V. Know-how laboratory diagnosis of blood coagulation conditions. Russian Journal of Children Hematology and Oncology, 2015, vol. 2, no. 1, pp. 27. Doi: 10.17650/2311-1267-2015-1-27-35.
21. Sánchez Arco A.M., Segura Jimenez I., Plata Illescas C. et al. Renal function in receptors with simultaneous liver-kidney transplant from the same donor. Transplantation proceedings, 2022, vol. 54, no. 1, pp. 45–47. Doi: 10.1016/j.transproceed.2021.08.059.
22. Schmidt A.E., Israel A.K., Refaai M.A. The utility of thromboelastography to guide blood product transfusion. American journal of clinical pathology, 2019, vol. 152, no. 4, pp. 407–422. Doi: 10.1093/ajcp/aqz074.
23. Taamallah K., Sahraoui S., Ghodhbane W. et al. Particularities of cardiac surgery in chronic hemodialysis patients. Tunis Med, 2017, vol. 95, no. 5, pp. 353–359. PMID: 29509217.
24. Tang Y., Zhang G., Kong W. et al. Pediatric living donor left lateral segment liver transplantation for biliary atresia: Doppler ultrasound findings in early postoperative period. Japanese journal of radiology, 2021, vol. 39, no. 4, pp. 367–375. Doi: 10.1007/s11604-020-01067-4.
25. Teitelbaum I. Peritoneal Dialysis. New England Journal of Medicine, 2021, vol. 385, no. 19, pp. 1786–1795. Doi: 10.1056/NEJMra2100152.
26. Torgay A., Pirat A., Candan S. et al. Internal jugular versus subclavian vein catheterization for central venous catheterization in orthotopic liver transplantation. Transplantation proceedings, 2005, vol. 37, no. 7, pp. 3171–3173. Doi: 10.1056/NEJMra2100152.
27. Villarreal J.A., Yoeli D., Ackah R. et al. Intraoperative blood loss and transfusion during primary pediatric liver transplantation: A single-center experience. Pediatric transplantation, 2019, vol. 23, no. 4, pp. e13449. Doi: 10.1111/petr.13449.
28. Watanabe K., Suzuki Y., Goto T. et al. Continuous hemodiafiltration in children after cardiac surgery. Artificial Organs, 2011, vol. 35, pp. 288–293. Doi: 10.1111/j.1525-1594.2010.01063.x.
29. Wahab S.A., Abraham B., Bailey A. at al. Imaging findings of en bloc simultaneous liver-kidney transplantation. Abdominal radiology (New York), 2021, vol. 46, no. 5, pp. 1876–1890. Doi: 10.1007/s00261-020-02824-9.
30. Wilk A.R., Booker S., Stewart D. Developing simultaneous liver-kidney transplant medical eligibility criteria while providing a safety net: A 2-year review of the OPTN’s allocation policy. Am J Transplant, 2021, vol. 21, no. 11, pp. 3593–3607. Doi: 10.1111/ajt.16761.
31. Yoeli D., Ackah R., Sigireddi R. et al. Reoperative complications following pediatric liver transplantation. Journal of pediatric surgery, 2018, vol. 53, no. 11, pp. 2240–2244. Doi: 10.1016/j.jpedsurg.2018.04.001
Review
For citations:
Novikov D.I., Zaitsev A.Yu., Kut’ina O.E., Filin A.V., Zokoev A.K., Metelin A.V., Shchkaturov S.V., Khalimov M.Ya. Infusion-transfusion therapy and correction of water–electrolyte disorders in simultaneous liver fragment transplantation and kidney retransplantation (clinical case). Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2023;20(5):54-61. (In Russ.) https://doi.org/10.24884/2078-5658-2023-20-5-54-61
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