TYK283

Monitoring during orthotopic liver transplantation routinely includes all of the following parameters EXCEPT:

a) Arterial blood gas analysis

b) Coagulation profile

c) Blood glucose level

d) Intracranial pressure

e) Ionized calcium level

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Answer

Answer d. Intracranial pressure monitoring would be very helpful for patients with hepatic failure (with or without OLT); however, there is considerable risk of insertion of a monitor into the cranium of a patient with coagulopathy and thrombocytopenia. At some centers this is performed, but it is not a routine monitor.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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