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The vecuronium requirements may be reduced for recipients of living donor liver transplantation, as the vecuronium is eliminated principally by the liver. Furthermore, the requirements may be different according to the phase of surgery. The requirements may also be different according to the preoperative hepatic function as measured by MELD score during prehepatic phase, or graft to recipient body weight ratio (GRWR) during neohepatic phase. Therefore, the investigators are trying to investigate the difference of vecuronium requirements according to the phase of surgery or MELD score, GRWR.
The vecuronium requirements may be reduced for recipients of living donor liver transplantation, as the vecuronium is eliminated principally by the liver. Furthermore, the requirements may be different according to the phase of surgery. The requirements may by further reduced during anhepatic phase of liver transplantation. And the requirements may be increased as the graft functions during neohepatic phase.
We also postulated that the requirements may be different according to the preoperative hepatic function during preanhepatic phase, and according to the graft to recipient body weight ratio (GRWR) during neohepatic phase.
Therefore, we are trying to investigate the difference of vecuronium requirements according to the phase of surgery, MELD score, GRWR.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High MELD group | Preoperative MELD score greater than 20 | ||
| Low MELD group | Preoperative MELD score lesser than 20 |
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| Measure | Description | Time Frame |
|---|---|---|
| vecuronium requirements during preanhepatic phase | total vecuronium requirements as guided by Train-of-four neuromuscular monitoring during preanhepatic phase | during prehepatic phase of liver transplantation |
| vecuronium requirements during anhepatic phase | total vecuronium requirements as guided by Train-of-four neuromuscular monitoring during anhepatic phase | during anhepatic phase of liver transplantation |
| vecuronium requirements during neohepatic phase | total vecuronium requirements as guided by Train-of-four neuromuscular monitoring during neohepatic phase | during neohepatic phase of liver transplantation |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing elective living donor liver transplantation
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| Name | Affiliation | Role |
|---|---|---|
| Gaab Soo Kim, M.D.,Ph.D. | Samsung Medical Center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samsung Medical Center | Seoul | 135-710 | South Korea |
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