Effect of Hemodynamic Monitoring Systems on Short-Term Outcomes after Living Donor Liver Transplantation

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dc.contributor.authorKilercik, Hakan
dc.contributor.authorAkbulut, Sami
dc.contributor.authorAktas, Sema
dc.contributor.authorAlkara, Utku
dc.contributor.authorSevmis, Sinasi
dc.date.accessioned2026-04-04T13:31:00Z
dc.date.available2026-04-04T13:31:00Z
dc.date.issued2024
dc.departmentİnönü Üniversitesi
dc.description.abstractBackground and Objectives: To evaluate the effects of the pulse index continuous cardiac output and MostCare Pressure Recording Analytical Method hemodynamic monitoring systems on short-term graft and patient outcomes during living donor liver transplantation in adult patients. Materials and Methods: Overall, 163 adult patients who underwent living donor liver transplantation between January 2018 and March 2022 and met the study inclusion criteria were divided into two groups based on the hemodynamic monitoring systems used during surgery: the MostCare Pressure Recording Analytical Method group (n = 73) and the pulse index continuous cardiac output group (n = 90). The groups were compared with respect to preoperative clinicodemographic features (age, sex, body mass index, graft-to-recipient weight ratio, and Model for End-stage Liver Disease score), intraoperative clinical characteristics, and postoperative biochemical parameters (aspartate aminotransferase, alanine aminotransferase, total bilirubin, direct bilirubin, prothrombin time, international normalized ratio, and platelet count). Results: There were no significant between-group differences with respect to recipient age, sex, body mass index, graft-to-recipient weight ratio, Child, Model for End-stage Liver Disease score, ejection fraction, systolic pulmonary artery pressure, surgery time, anhepatic phase, cold ischemia time, warm ischemia time, erythrocyte suspension use, human albumin use, crystalloid use, urine output, hospital stay, and intensive care unit stay. However, there was a significant difference in fresh frozen plasma use (p < 0.001) and platelet use (p = 0.037). Conclusions: The clinical and biochemical outcomes are not significantly different between pulse index continuous cardiac output and MostCare Pressure Recording Analytical Method as hemodynamic monitoring systems in living donor liver transplantation. However, the MostCare Pressure Recording Analytical Method is more economical and minimally invasive.
dc.identifier.doi10.3390/medicina60071142
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.issue7
dc.identifier.orcid0000-0002-6864-7711
dc.identifier.orcid0000-0003-1624-0124
dc.identifier.orcid0000-0001-8728-5472
dc.identifier.pmid39064571
dc.identifier.scopus2-s2.0-85199915412
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.3390/medicina60071142
dc.identifier.urihttps://hdl.handle.net/11616/108517
dc.identifier.volume60
dc.identifier.wosWOS:001278791800001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMdpi
dc.relation.ispartofMedicina-Lithuania
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectliving donor liver transplantation
dc.subjectintraoperative management
dc.subjecthemodynamic monitoring
dc.subjectpressure recording analytical method
dc.subjectpulse index continuous cardiac output
dc.titleEffect of Hemodynamic Monitoring Systems on Short-Term Outcomes after Living Donor Liver Transplantation
dc.typeArticle

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