Influence of central venous pressure level on the blood loss volume and transfusion requirements at the liver transplantation
Objectives. To evaluate the effect of CVP on the blood loss during the liver transplantation. Methods. 68 patients who underwent the liver transplantation were included in the retrospective analysis. The patients were divided into two groups. In the first group, CVP was maintained at a level no higher than 8 mm Hg, in the second group - no less than 9 mm Hg. Results. It was established that maintaining of CVP no higher than 8 mm Hg can reduce blood loss and amount of transfusions and does not increase the need for renal replacement therapy. Reducing the number of transfusions leads to decrease in the frequency of bacterial complications and, consequently, shortens the duration of stay in the intensive care unit. Conclusions. Maintaining of CVP at a low level during the liver transplantation is pathogenetically justified and effective.