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October 16-20, 2010 San Diego, CA Home Abstract Archive Search Abstracts 2010 Session Grid 2010 Meeting Website Policy Statements ASA Website Feedback 
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A507
October 19, 2008 9:00 AM - 11:00 AM Room Hall E2-Area F, |
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| Impact of Adoption of Meld Score for Graft Allocation on Blood Components Transfusion during Olt | |||||||||||||||
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Alexandre Teruya, M.D., Flavio Takaoka, M.D., Ph.D., Alexandre P. Oliveira, M.D., Marcel V. Vitoreli, M.D., Raffael C. Zamper, M.D. Hospital Israelita Albert Einstein, Sao Paulo, SP, Brazil |
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INTRODUCTION: Blood components transfusion during orthotopic liver transplant (OLT) is related to surgical bleeding and coagulation impairment due to liver dysfunction. Despite a reduce on blood transfusion rates in the last years it still requires an important blood bank support. Since July of 2006 the Model for End Stage Liver Disease - MELD - score has been adopted to define graft allocation in our country. A recent article has demonstrated that patients with a MELD score grater than 30 have received more blood components durig OLT1. OBJECTIVE: Analyze the impact of the adoption of MELD score for graft allocation on blood components transfusion during OLT. METHODS: We retrospectively reviewed 456 OLTs - 413 before MELD era and compared the amount of blood components transfused to these groups. RESULTS: After the new organ allocation criteria, the average MELD score has raised from 19,4 to 28,6 . Average transfusion on both groups is shown is shown on table 1.[table1]CONCLUSION: Since adoption of MELD score as determinant of graft allocation, patients have been receiving larger amounts of red blood cells, fresh frozen plasma and cryoprecipitate. 1 - Xia, V, et al. Preoperative Characteristics and Intraoperative Transfusion and Vasopressor Requirements in Patients With Low Vs. High MELD Scores. Liver Transplantation 12:614-620, 2006. Anesthesiology 2008; 109 A507 |
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