The efectiveness of prophylactic attachment of adhesive defbrillation pads in adult living donor liver transplantation

Background: The aim of current study is to present the efectiveness of prophylactic attachment of adhesive defbrillation electrode pads in adult living donor liver transplantation. Material/Methods: We divided 487 adult living donor liver transplantation patients into 2 Eras according to the history of without (Era 1) and with (Era 2) pre-attachment of adhesive defbrillation pads. The incidences of intraoperative cardiac events requiring cardioversion or defbrillation, its management, and outcome between Era 1 and 2 were compared. Results: Two cases out of 124 patients (1.6%) in Era 1 had cardiac arrest. The closed chest cardiac massage in 1 cardiac arrest in Era 1 required trans-diaphragmatic open-chest cardiac massage followed by internal cardiac def-brillation due to difculty in performing external defbrillation. Both patients of Era 1 had in-hospital mortality. Four patients of Era 2 (n=363) received electrical treatment (1.01%); 2 had paroxysmal tachycardia requiring cardio-version and the other 2 had ventricular fbrillation requiring closed-chest cardiac massage and external defbrillation. All 4 patients in Era 2 regained sinus rhythm after electrical treatment, tolerated the subsequent operation well, and had 100% survival to date. Conclusions: Our results show that prophylactic attachment of adhesive defbrillation pads allows the immediate performance of cardioversion, conventional closed-chest CPR, and defbrillation if indicated without any delay and without interference with the sterility of the operation feld. Our preliminary result is clear and encouraging.