Introduction
intra-abdominal, hypothermia
HEAT, LIVER, METABOLIC DISTURBANCE
Liver transplantation is attended with various intraoperative metabolic disturbances. Significant decrease in core temperature is one of them and results from decreased baseline functional reserve, extended surgical procedures, large exposure of intra-abdominal tissues, and the absence of hepatic heat production along with the insertion of cooled liver during the anhepatic phaseIntraoperative core temperature drops dominantly immediately after the start of general anesthesia when the heat of the core compartment translates into the peripheral compartment due to dilatation of the peripheral vascular system which acts as the thermal barrier between the two compartments and controls the balance between core heat and peripheral heatBecause liver is the major thermoregulatory organ, liver transplant recipients may be more vulnerable to hypothermia induced by the core-to-peripheral heat distribution. Also, the vascular barrier to preserve core heat may be disturbed with severely decreased vascular resistance