Approach to the Iron deficiency in liver transplant recipients in ıntensive care

dc.contributor.authorAydogan, Mustafa Said
dc.date.accessioned2022-02-16T12:35:16Z
dc.date.available2022-02-16T12:35:16Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPreoperative anemia is a common condition in surgical patients, particularly those with end-stage liver failure. Liver transplant (LT) represents the last therapeutic option for end-stage liver failure patients. The procedure is often associated with major blood loss, requiring allogeneic blood product transfusions. The prevalence of anemia in LT recipients ranges from 2% to 28% and the prevalence of iron deficiency (ID) among LT recipients ranges from 45% to 60%. Several factors may contribute to anemia, including occult gastrointestinal bleeding, folate and vitamin B12 deficiency, autoimmune hemolysis, altered oxide-reductive balance, hypersplenism (in adults), and nutritional deficiency (in children). The intensive care unit (ICU) plays a vital role in the practice of LT recipients. A prolonged ICU stay consumes physical and financial resources. Among LT patients, it may be associated with an increased risk of complications and greater mortality. Preoperative ID may be able to identify patients who are likely to need a prolonged ICU stay after LT because of preoperative ID is associated with high intraoperative PRBC transfusion requirements in LT patients. Furthermore, the quantity of blood products administered intraoperatively is a well known independent risk factor for a prolonged ICU stay after LT. Improvements in preoperative evaluation, surgical techniques, and intraoperative anesthesia of LT recipients during the past decade have resulted in shorter ICU stay. We believe that to avoid prolonged ICU stay, transfusion is important during LT.en_US
dc.identifier.citationSaid Aydogan, M. (2021). Approach to the Iron deficiency in liver transplant recipients in ıntensive care . Annals of Medical Research,en_US
dc.identifier.doi10.5455/jtomc.2015.05.02en_US
dc.identifier.urihttps://hdl.handle.net/11616/47294
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleApproach to the Iron deficiency in liver transplant recipients in ıntensive careen_US
dc.typeArticleen_US

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