{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T05:15:13Z","timestamp":1761110113864},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,9,4]],"date-time":"2014-09-04T00:00:00Z","timestamp":1409788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Kidney injury with concomitant hemodialysis is a common finding in perioperative care of liver transplant patients. The aim of this study was to evaluate disturbances in acid\u2010base status, electrolyte balance and citrate accumulation during hemodialysis with regional citrate anticoagulation in perioperative care of liver transplant recipients. A retrospective, single center evaluation was conducted of patients with severe liver dysfunction receiving renal replacement therapy in the perioperative care of liver transplantation in a multidisciplinary <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content> of a university hospital. Within 5 days of <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content> stay, 89 patients undergoing liver transplantation received regional citrate anticoagulation for hemodialysis. During the study period <jats:styled-content style=\"fixed-case\">pH<\/jats:styled-content> (7.39 [7.33\/7.43] vs. 7.44 [7.39\/7.47], <jats:italic>P<\/jats:italic>\u2010value\u2009=\u20090.014), base excess values (\u22120.9 [\u22125.08\/2.35] vs. 4.3 [1.93\/8.21], <jats:italic>P<\/jats:italic>\u2010value\u2009=\u20090.001) and standard bicarbonate (23.6 [20\/26.9] vs. 28.2 [26.2\/32.2], <jats:italic>P<\/jats:italic>\u2010value\u2009=\u20090.001) significantly increased, whereas lactate levels (2.6 [1.60\/4.45] vs. 1.25 [0.98\/1.9], <jats:italic>P<\/jats:italic>\u2010value\u2009=\u20090.071) and Ca<jats:sub>tot<\/jats:sub>\/Ca<jats:sub>ion<\/jats:sub>\u2010ratio decreased or remained below the upper reference. Hypocalcemia appeared mostly within 48\u2009h after dialysis initiation. Although sodium levels increased during the observation, rates of hypernatremia were comparable between hemodialysis days 1 and 5. Hemodialysis using regional citrate anticoagulation remains a challenge in the perioperative care of liver transplant recipients. Major attention must be paid to acid\u2010base disturbances and citrate accumulation within 48\u2009h after dialysis initiation. Nevertheless, regional citrate anticoagulation in liver dysfunction is a feasible and valuable tool, when limitations and pitfalls are adequately considered.<\/jats:p>","DOI":"10.1111\/1744-9987.12196","type":"journal-article","created":{"date-parts":[[2014,9,5]],"date-time":"2014-09-05T05:28:34Z","timestamp":1409894914000},"page":"8-15","source":"Crossref","is-referenced-by-count":14,"title":["Regional Citrate Anticoagulation for Continuous Renal Replacement Therapy in the Perioperative Care of Liver Transplant Recipients: A Single Center Experience"],"prefix":"10.1111","volume":"19","author":[{"given":"Christoph","family":"Sponholz","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care Medicine Visceral and Vascular Surgery  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Utz","family":"Settmacher","sequence":"additional","affiliation":[{"name":"Department of General Visceral and Vascular Surgery  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care Medicine Visceral and Vascular Surgery  Jena Germany"},{"name":"Center for Sepsis Control and Care (CSCC) Integrated Research and Treatment Center Jena University Hospital  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Kortgen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care Medicine Visceral and Vascular Surgery  Jena Germany"},{"name":"Center for Sepsis Control and Care (CSCC) Integrated Research and Treatment Center Jena University Hospital  Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,9,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.23522"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq575"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc9358"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc11485"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr510"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc11363"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2008.00545.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000079171"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-9987.2012.01101.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2008.00550.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1515\/CCLM.2006.164"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.5301\/JN.2011.8363"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200104000-00010"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-011-2438-3"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318265f576"},{"key":"e_1_2_6_17_1","first-page":"176","article-title":"Hyponatremia\u2014predictor of adverse prognosis in cirrhosis","volume":"5","author":"Bengus A","year":"2012","journal-title":"J Med Life"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181a00a92"}],"container-title":["Therapeutic Apheresis and Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1744-9987.12196","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1744-9987.12196","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T13:11:05Z","timestamp":1696165865000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1744-9987.12196"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,4]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1111\/1744-9987.12196"],"URL":"https:\/\/doi.org\/10.1111\/1744-9987.12196","archive":["Portico"],"relation":{},"ISSN":["1744-9979","1744-9987"],"issn-type":[{"value":"1744-9979","type":"print"},{"value":"1744-9987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,4]]}}}