Description

Zhang et al reported the Peking criteria for the diagnosis of post-reperfusion syndrome (PRS) in a pediatric patient undergoing liver transplantation surgery. The authors are from the Capital Medical University and National Clinical Research Center for Digestive Diseases in Beijing.


Patient selection: pediatric patient undergoing liver transplantation

 

Timing: soon after reperfusion of the transplanted liver begins

 

Parameters:

(1) bradyarrhythmia (heart rate <= 85% of pre-reperfusion rate)

(2) new-onset, hemodynamically significant arrhythmia

(3) cardiac arrest

(4) severe hypotension (drop in systolic blood pressure unresponsive to 1 µg/kg epinephrine bolus)

(5) persistent hypotension (systolic blood pressure <= 70% of pre-reperfusion rate that lasts >= 5 minutes)

(6) new-onset vasoplegia (severe hypotension, high cardiac output, low systemic vascular resistance)

(7) prolonged vasopressor treatment

 

If one or more of these parameters is present, then the patient has the post-reperfusion syndrome.


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