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Significance of hypoxemia screening in candidates for liver transplantation: our experience
A T Mazzeo1, G Bottari, C Praticò
1Department of Neuroscience, Psychiatric and Anesthesiological Sciences, Section of Anesthesiology, University of Messina, Messina, Italy. annateresamazzeo@nime.it
Abstract:
Hepatopulmonary syndrome (HPS) is recognized as one of the causes of hypoxemia in patients with chronic liver disease. This complication is responsible for increased mortality and increased perioperative risk in liver transplantation candidates. Recent data from the literature suggest extending the screening for HPS to all candidates for liver transplantation. The aim of this retrospective study was to evaluate the incidence of hypoxemia among a population of patients awaiting liver transplantation. Using pulse oximetry as a screening tool for hypoxemia, 39 of 198 patients (20%) were hypoxemic. The results of this study confirmed the importance of screening for hypoxemia among patients awaiting liver transplantation. In these patients, a more accurate evaluation of respiratory function should be performed to confirm or exclude the diagnosis of HPS.
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