HE Kaihua, et al. Discussion of the anesthesia of pig orthotopic liver transplantation surgery. [J]. Journal of Chongqing Medical University (2):163-165(2002)
HE Kaihua, et al. Discussion of the anesthesia of pig orthotopic liver transplantation surgery. [J]. Journal of Chongqing Medical University (2):163-165(2002)DOI:
Discussion of the anesthesia of pig orthotopic liver transplantation surgery
Objective: To get the experiment data and experiences for clinical liver transplantation
the anesthesia method and hemodynamic changes were observed during the surgery of pig liver transplantation model. Methods: 24 healthy
young and cross-racial pigs were divided into two groups at random. 12 donators
12 receivers. During balanced-anesthesia
the changes of MAP
CVP
ACT were monitored. VVB was done at anhepatic phase. The hemodynamic changes during 3 phases were monitored. Results: Because of the special anatomy of pigs
the intubation was difficult and requires higher techniques. The oral intubation was successful in 21 cases
and tracheotomy in 3 cases. The hemodynamic changes were remarkable during anhepatic phase and primary neohepatic phase . The blood back flow blockage was successfully prevented by extracorporeal vein-vein bypass
and the stability of circulation was well maintained. Being compared with the pre-anhepatic phase
there were remarkable differences of the dropping of shell temperature and the changing of ACT during anhepatic phase
primary neohepatic phase and neohepatic phase. Conclusion: Using EVVB during the anhepatic phase can be helpful to maintain hemodynamics and blood biochemistry stable. It is an important experience for clinical liver transplantation.