Central hemodynamic and oxygen regime has been studied in 13 patients during reperfusion stage of orthotopic liver transplantation (RSOLT). RSOLT was accompanied with severe disturbances of hemodynamic and oxygen delivery. Hyperdynamic state of circulation on the ground of lowered systemic vascular resistance can lead to tissue hypoxia. The most pronounced disturbances of hemodynamics and tissue oxygen consumption took place during first 30 min of RSOLT. Tissue oxygen consumption restored in 1 hr after the graft’s blood flow restarting. A suggested protocol of intensive care allows avoiding intraoperative mortality.
