Status:

COMPLETED

Norepinephrine Boluses in Liver Transplantation

Lead Sponsor:

Mansoura University

Conditions:

Living Donor Liver Transplantation

Norepinephrine Bolus

Eligibility:

All Genders

18-65 years

Phase:

PHASE1

PHASE2

Brief Summary

We study the efficacy of Norepinephrine boluses on prevention of postreperfusion syndrome during living donor liver transplantation. NE and Post-reperfusion: On portal vein declamping, we will start...

Detailed Description

Anesthesia technique: On admission to the pre-anesthetic room, patients will receive intravenous pantoprazole sodium 40 mg, midazolam 0.02 mg/kg and the prophylactic antibiotics. In the operating ro...

Eligibility Criteria

Inclusion

  • All patients subjected to living donor liver transplantation with right lobe liver graft.

Exclusion

  • Acute fulminant hepatitis
  • Chronic hypertension
  • Moderate to severe valvular heart disease
  • Chronic kidney disease (CKD) and Hepatorenal syndrome (HRS)
  • Preoperative S.Cr elevation \> 1.4 mg/kg or dialysis recently before surgery
  • Long standing diabetes mellitus (\> 10 years on insulin)
  • Moderate and sever Porto-pulmonary hypertension
  • Moderate and sever Hepato-pulmonary syndrome (HPS)
  • Contraindications to pulmonary artery catheter insertion
  • Budd Chiari syndrome
  • Re-transplantation
  • Massive blood transfusion (more than 5 units of blood before portal clamping)
  • Graft/weight ratio \> 1.4 and \< 0.8

Key Trial Info

Start Date :

December 17 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 28 2020

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT03773276

Start Date

December 17 2018

End Date

August 28 2020

Last Update

December 21 2022

Active Locations (1)

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1

Mansoura University, Gastrointestinal Surgery Center, Liver Transplantation

Al Mansurah, Dakahlia Governorate, Egypt, 35516