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Haemodynamic management in liver surgery


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Title: Haemodynamic management in liver surgery
Authors: Sand Bown, Lena
E-mail: lena.sand@vgregion.se
Issue Date: 15-Jan-2016
University: University of Gothenburg. Sahlgrenska Academy
Institution: Institute of Clincial Sciences. Department of Anesthesiology & Intensive Care Medicine
Parts of work: I. Sand L, Rizell M, Houltz E, Karlsen K, Wiklund J, Odenstedt Hergès H, Stenqvist O, Lundin S Effect of patient position and PEEP on hepatic, portal and central venous pressures during liver resection. Acta Anaesthesiol Scand 2011; 55: 1106–1112.IV.
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II. Sand L, Lundin S, Rizell M, Wiklund J, Stenqvist O, Houltz E Nitroglycerine and patient position effect on central, hepatic and portal venous pressures during liver surgery. Acta Anaesthesiol Scand 2014; 58: 961-967.
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III. Sand Bown L, Ricksten S-E, Houltz E, Einarsson H, Söndergaard S, Rizell M, Lundin S Vasopressin-induced changes in splanchnic blood flow and hepatic and portal venous pressures in liver resection. Acta Anaesthesiol Scand. 2016, In press.
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IV. Sand Bown L, Wolmesjö N, Ricksten S-E, Rizell M, Lundborg C, Lundin S, Söndergaard S Goal-directed haemodynamic bundled therapy reduces bleeding in liver resection. Submitted manuscript.
Date of Defence: 2016-02-05
Disputation: Fredagen den 5 februari 2016, kl 13.00, Hjärtats Aula, Sahlgrenska Universitetssjukhuset, Göteborg
Degree: Doctor of Philosophy (Medicine)
Publication type: Doctoral thesis
Keywords: liver resection
nitroglycerine
central venous pressure
vasopressin
patient position
PEEP
Abstract: Background: Liver resection surgery is a potentially curative treatment for liver tumours. The liver is a highly vascular organ, and substantial intra-operative blood loss is common. Increased blood loss negatively impacts both postoperative outcome and long-term survival. A low central venous pressure (CVP) has been suggested in order to reduce blood loss during liver surgery. The rationale is that low CVP reflects lower pressure in the hepatic venous system, which in turn reduces the driving ... more
ISBN: ISBN 978-91-628-9668-3 (print)
ISBN 978-91-628-9669-0 (pdf)
URI: http://hdl.handle.net/2077/41235
Appears in Collections:Doctoral Theses from Sahlgrenska Academy
Doctoral Theses from University of Gothenburg / Doktorsavhandlingar från Göteborgs universitet
Doctoral Theses / Doktorsavhandlingar Institutionen för kliniska vetenskaper

 

 

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