{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:33:00Z","timestamp":1780579980175,"version":"3.54.1"},"reference-count":15,"publisher":"The Korean Society of Anesthesiologists","issue":"1","license":[{"start":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T00:00:00Z","timestamp":1640822400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["anesth-pain-med.org"],"crossmark-restriction":true},"short-container-title":["Anesth Pain Med"],"published-print":{"date-parts":[[2022,1,31]]},"abstract":"<jats:p>Background: Excessive citrate load during therapeutic plasma exchange (TPE) can cause metabolic alkalosis with compensatory hypercarbia and electrolyte disturbances. If TPE is required immediately before ABO-incompatible (ABOi) liver transplant (LT) surgery, metabolic derangement and severe electrolyte disturbance could worsen during LT anesthesia.Case: We report two ABOi LT cases who received TPE on the day of surgery because isoagglutinin titers did not be dropped below 1:8. One case had a surprisingly high metabolic alkalosis with a pH of 7.73 immediately after tracheal intubation because of hyperventilation during mask bagging. The other experienced sudden ventricular tachycardia and blood pressure drop after surgical incision accompanied with severe hypokalemia of 1.8 mmol\/L despite supplementation with potassium.Conclusions: Special attention should be paid to patients who just completed TPE the operative day morning as they are vulnerable to severe acid-base disturbances and life-threatening ventricular arrhythmias in ABOi LT.<\/jats:p>","DOI":"10.17085\/apm.21045","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T03:57:45Z","timestamp":1640836665000},"page":"57-61","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Serious acid-base disorder or life-threatening arrhythmia in patients with ABO-incompatible liver transplantation who received therapeutic plasma exchange - A report of two cases -"],"prefix":"10.17085","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5943-7715","authenticated-orcid":true,"given":"Sangho","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6643-9177","authenticated-orcid":true,"given":"Kyoung-Sun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6890-4629","authenticated-orcid":true,"given":"Bo-Hyun","family":"Sang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3627-1107","authenticated-orcid":true,"given":"Gyu-Sam","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2573","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2018.02.002"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2014.04.039"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-9987.2005.00304.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/aco.0000000000000037"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/jca.21592"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/01.ccm.0000084871.76568.e6"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s0272-6386(12)80135-1"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-24887-x"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2013.07.035"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2018.71.2.85"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/1744-9987.13495"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.5500\/wjt.v9.i6.103"},{"key":"ref13","first-page":"375","volume-title":"Plasmapheresis. Technical aspects and indications","author":"Madore","year":"2002"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/jca.21257"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.emc.2013.12.005"}],"container-title":["Anesthesia and Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-21045.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.21045","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-21045.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T06:54:38Z","timestamp":1643266478000},"score":1,"resource":{"primary":{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.21045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,31]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"URL":"https:\/\/doi.org\/10.17085\/apm.21045","relation":{},"ISSN":["1975-5171","2383-7977"],"issn-type":[{"value":"1975-5171","type":"print"},{"value":"2383-7977","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,31]]},"assertion":[{"value":"2021-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-30","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}