Two-stage liver transplant for ruptured hepatic adenoma: A case report

Table 1 Peri-transplant hemodynamics and labs

	On arrival at OSH	Mid-hospitalization	Prior to transfer, at OSH	Prior to hepatectomy	1 h post hepatectomy	6 h post hepatectomy	Prior to transplant	1 h after transplant	6 h after transplant
Norepinephrine (mcg/kg per minute)	0	0	0	0.04	0	0	0	0	0
Lactate (mmol/L)	4.9	6.4	8.3	9.5	9.7	5.2	5.1	5	4.8
Continuous venovenous hemodialysis	No	No	No	Adjuncts	Initiated	-100 mL/h	-150 mL/h	-200 mL/h	-130 mL/h
Urine Output (mL/h)	65	9	35	Anuric	400	75	22	75	43
Potassium (meq/L)	4.2	5.4	6.9	4.5	4	3.8	4	5	4.5
Creatinine (mg/dL)	1.22	1.07	1.73	1.53	1.45	0.87	1.03	1.00	0.84
INR	1.2	1.4	1.9	NA	1.4	1.3	1.6	1.3	1.3
pH	NA	7.28	7.2	7.24	7.48	7.45	7.37	7.46	7.45
PCO2 (torr)	NA	26	34	35	31	34	37.5	34	37
Total Bilirubin (mg/dL)	NA	2.1	2.1	3.3	NA	NA	NA	3.9	3.7
AST (IU/mL)	NA	784	2178	3882	NA	NA	NA	2440	1985
ALT (IU/mL)	NA	366	894	1464	NA	NA	NA	1138	938

Rate indicates rate of fluid removal (sum of all fluid administrated – fluid removed on continuous venouvenous hemodialysis). OSH: Outside hospital; INR: International normalized ratio; P_CO2: Partial pressure of carbon dioxide; AST: Aspartate aminotransferase; ALT: Alanine aminotransferase; NA: Not available.