Perioperative medicine & outcomes

Intraoperative Hemodynamic Management during Liver Transplantation and Postoperative Morbidity: A Multicenter Cohort Study

AnesthesiologyPublished Multicentre cohort study

Authors' conclusion

A higher fluid balance and higher doses of vasopressors were not associated with a higher risk of 7-day early allograft dysfunction or primary graft nonfunction after liver transplantation.

Study context

Population
Consecutive liver transplant recipients at eight centres in Canada and France, January 2021–May 2023836 with complete data
Participants
852 recipients
Exposure
Intraoperative fluid balance and vasopressor doses
Outcome
Early allograft dysfunction or primary graft nonfunction
Follow-up
7 days
Methodological detailsconsecutive recipients, regression models adjusted for confounders including intraoperative hypotension
  • Consecutive recipients
  • Regression models adjusted for confounders including intraoperative hypotension

Main finding

As reported in the abstract

7-day early allograft dysfunction or primary graft nonfunction
Not associated
Adjusted relative risk (95% CI)
Fluid balance, per liter
1.02(0.97–1.06)
Vasopressor dose, per 25 μg/kg norepinephrine equivalent
1.03(0.99–1.06)

Each row per its own increment, as printed

Incidence of 7-day early allograft dysfunction or primary graft nonfunction (236 patients)
28%

Observational data: associations, not effects.

Original publication

Intraoperative Hemodynamic Management during Liver Transplantation and Postoperative Morbidity: A Multicenter Cohort Study. Anesthesiology. Published 30 March 2026. doi:10.1097/aln.0000000000006071

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