Chidananda Swamy Mn
Department of Anaesthesia and Critical Care, Sakra World Hospitals, Devarabeesanahalli, Bengaluru, Karnataka, India.
Indian J Anaesth. 2014 Sep;58(5):647-51. doi: 10.4103/0019-5049.144677.
Blood loss and blood transfusion have been inherently associated with liver transplantation. Bleeding has been attributed to the various factors which are associated with chronic liver dysfunction. Various surgical and anaesthetic strategies have been developed over the years to reduce bleeding and also to optimise the usage of various blood and blood products perioperatively. The present day success of liver transplantation can be attributed to these issues where transfusion practices have changed. Although several centres are successfully performing liver transplantations in large numbers, there is still a large variability in the usage of blood and blood products perioperatively among the institutions and even among different anaesthesiologists from the same institution. The present article deals with the various factors confounding this concept of blood transfusion practices and the various strategies adopted to reduce the transfusion requirements in the perioperative period.
失血和输血一直与肝移植有着内在联系。出血归因于与慢性肝功能障碍相关的多种因素。多年来已制定了各种外科和麻醉策略以减少出血，并在围手术期优化各种血液和血液制品的使用。如今肝移植的成功可归因于这些输血实践发生了变化的问题。尽管有几个中心成功地大量开展肝移植手术，但各机构之间，甚至同一机构的不同麻醉医生之间，围手术期血液和血液制品的使用仍存在很大差异。本文探讨了混淆输血实践这一概念的各种因素，以及为减少围手术期输血需求而采取的各种策略。
