Patient selection: liver transplant recipient
Risk factors:
(1) MELD score > 35
(2) preoperative mechanical ventilation on day of surgery
(3) net ascites fluid output > 1 liter during surgery
(4) difference in age between donor and recipient > 10 years
(5) difference in sex between donor and recipient
(6) ratio of donor liver mass to recipient body mass < 0.01
(7) annual number of liver transplants at the transplant center less than 50
(8) transfusion of packed red blood cells
(9) extended surgical time
(10) hyperglycemia > 200 mg/dL during surgery
(11) use of vasopressors during surgery
where:
• A liver to body weight ratio of 0.01 in a 75 kg patient indicates a liver weighing 750 grams.
