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Journals / Çocuk Acil ve Yoğun Bakım Dergisi / 2015 / Cilt: 2 - Sayı: 3

After Liver Transplant Pediatric Intensive Care Follow-up: 5 years of experience

Karaciğer Nakli Sonrası Çocuk Yoğun Bakım İzlemi: 5 yıllık deneyim

Nuri ALAÇAKIR
Hakan TEKGÜÇ
Meryem KEÇELİ
AHMET BAŞTÜRK
Reha ARTAN
İbrahim ALİOSMANOĞLI
Ayhan DİNÇKAN
OĞUZ DURSUN
Pages
115–119
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

In this study, early post-operative follow-up data of 31 patients who underwent liver transplantation were evaluated in the light of the literature.

📌 3 Key Takeaways

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Objective & Hypothesis:INTRODUCTION: This study aimed to examine early post-operative intensive care unit follow-up of children after liver transplantation.
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Key Findings & Data:METHODS: Records of the patients who were followed up after liver transplantation in Akdeniz University Medical Faculty Pediatric Intensive Care Unit between January 2010 and January 2015 were retrospectively investigated.
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Conclusion & Impact:In this study, early post-operative follow-up data of 31 patients who underwent liver transplantation were evaluated in the light of the literature.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

INTRODUCTION: This study aimed to examine early post-operative intensive care unit follow-up of children after liver transplantation. METHODS: Records of the patients who were followed up after liver transplantation in Akdeniz University Medical Faculty Pediatric Intensive Care Unit between January 2010 and January 2015 were retrospectively investigated. RESULTS: A total number of 31 patients were followed up after liver transplantation during 5-year period. The mean age of the patients was 80,83 (7-205) months and 13 of them (42%) were girls. Cadaveric transplantation was performed in 17 (55%) patients. Duration of mechanical ventilation was 18,4 (0-120) hours, length of stay in intensive care unit was 5,7 (1-18) days and length of hospital stay was found to be 24 (12-77) days. Early post-operative intensive care unit mortality was detected as 16% (5/31). DISCUSSION AND CONCLUSION: Intensive care after liver transplantation is an important factor directly affecting the success of organ transplant team. It has been shown that the duration of mechanical ventilation and the rate of vascular complications increased as the age and body weight decreased in the patents who have been followed up in pediatric intensive care unit after liver transplantation. In this study, early post-operative follow-up data of 31 patients who underwent liver transplantation were evaluated in the light of the literature.

Özet

AMAÇ: Bu çalışmada karaciğer nakli sonrası çocuk hastaların erken dönem postoperatif yoğun bakım izlemlerinin incelenmesi amaçlanmıştır. YÖNTEM ve GEREÇLER: Akdeniz Üniversitesi Tıp Fakültesi Çocuk Yoğun Bakım Ünitesi'nde Ocak 2010 - Ocak 2015 tarihleri arasında karaciğer nakli sonrası izlenen hastaların dosyaları geriye dönük incelendi. BULGULAR: Beş yıllık süreçte toplam 31 hasta karaciğer nakli sonrası izlendi. Hastaların yaş ortalaması 80,83 (7-205) ay ve 13'ü (%42) kız idi. Nakillerden 17'si (%55) kadavradan yapılmıştı. Mekanik ventilatörde kalış süresi 18,4 (0-120) saat, yoğun bakım kalış süresi 5,7 (1-18) gün, hastanede kalış süreleri 24 (12-77) gün idi. Erken dönem ameliyat sonrası yoğun bakım mortalitesi %16 (5/31) olarak saptandı. TARTIŞMA ve SONUÇ: Karaciğer nakli sonrası yoğun bakım, organ nakli ekibinin başarısını doğrudan etkileyen önemli bir bileşendir. Karaciğer nakli sonrası çocuk yoğun bakımda izlenen hastaların yaş ve vücut ağırlıkları azaldıkça mekanik ventilasyon sürelerinin uzadığı ve vasküler komplikasyonların sıklığının arttığı görülmüştür. Bu çalışmada karaciğer nakli sonrası izlenen 31 hastanın erken post operatif izlemleri literatürle karşılaştırılarak değerlendirilmiştir.

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Cite This Article

ALAÇAKIR, N., TEKGÜÇ, H., KEÇELİ, M., BAŞTÜRK, A., ARTAN, R., ALİOSMANOĞLI, İ., DİNÇKAN, A., DURSUN, O. (2015). After Liver Transplant Pediatric Intensive Care Follow-up: 5 years of experience. Çocuk Acil ve Yoğun Bakım Dergisi, Cilt: 2 - Sayı: 3, 115–119. https://ajindex.com/articles/167143

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