caa a22 4500 445373458 CHVBK 20180317142955.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00540-011-1110-y doi (NATIONALLICENCE)springer-10.1007/s00540-011-1110-y Two cases of massive pleural effusion noted only after induction of anesthesia in living donor liver transplantation [Elektronische Daten] [Sin-Ei Juang, Chao-Long Chen, Wen-Tzu Liao, Chih-Hsien Wang, Kwok-Wai Cheng, Chia-Jung Huang, Chih-Chi Wang, Allan Concejero, Shao-Chun Wu, Bruno Jawan] Two adult patients who underwent living donor liver transplantation with acute accumulation of right-side pleural effusion are reported. The chest X-ray of patient 1 showed no specific finding 3days before the operation, and patient 2 was known to have pleural effusion and underwent pigtail drainage before transplant. After anesthesia induction and insertion of central venous catheters, a portable chest radiograph was taken to confirm the positions of the central venous catheters and endotracheal tube. A massive right-side pleural effusion was noted unexpectedly in both patients. Approximately 2,000ml transudative fluid was surgically drained through the right diaphragm in patient 1 upon opening of the abdominal cavity. The acute accumulation of massive pleural fluid in patient 2 was caused by clamping of the pigtail drainage tube during patient transfer to the operating room; upon unclamping of the tube, 2,000ml fluid was drained. The intraoperative and postoperative transplant courses of both patients were uneventful. Both were discharged from the hospital in stable condition. Our cases suggest that chest X-ray after induction of the anesthesia and before liver transplantation surgery is recommended. In addition to documenting the positions of the central venous catheters and endotracheal tube, a potential life-threatening pleural effusion requiring appropriate management may be detected. Japanese Society of Anesthesiologists, 2011 Organ nationallicence End stage liver disease nationallicence Anesthesia nationallicence General nationallicence Monitoring nationallicence Chest X-ray nationallicence Surgery nationallicence Liver transplant nationallicence Juang Sin-Ei Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut Chen Chao-Long Liver Transplant Program, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Kaohsiung, Taiwan, R.O.C aut Liao Wen-Tzu Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut Wang Chih-Hsien Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut Cheng Kwok-Wai Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut Huang Chia-Jung Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut Wang Chih-Chi Liver Transplant Program, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Kaohsiung, Taiwan, R.O.C aut Concejero Allan Liver Transplant Program, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Kaohsiung, Taiwan, R.O.C aut Wu Shao-Chun Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut Jawan Bruno Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut Journal of Anesthesia Springer Japan 25/3(2011-06-01), 418-421 0913-8668 25:3<418 2011 25 540 https://doi.org/10.1007/s00540-011-1110-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1110-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Juang Sin-Ei Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Chen Chao-Long Liver Transplant Program, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Liao Wen-Tzu Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Wang Chih-Hsien Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Cheng Kwok-Wai Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Huang Chia-Jung Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Wang Chih-Chi Liver Transplant Program, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Concejero Allan Liver Transplant Program, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Wu Shao-Chun Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 700 1- Jawan Bruno Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Medicine College, Ta-pei Rd. 123, Niao Shung Hsiang, Kaohsiung, Taiwan, R.O.C aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/3(2011-06-01), 418-421 0913-8668 25:3<418 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer