Dr Victor Baladrón

Before the operation, the hepatic reserve was assessed with the LiMON® monitor by means of the determination of the ICG-PDR. The ICG-PDR dose used was 0.25 mg/kg. The monitor has a calculator that evaluates the amount and correct dilution of ICG based on the patient's weight and height, dosage, and concentration of the vial contents. The monitor starts calibration and prompts for injection. The curve detected message is displayed and the measurement starts. Once this has been completed, the result is displayed in a table. For the assessment of hepatic flow and hepatic function, the plasma concentration of indocyanine green is measured by spectrophotometry at the time of injection and after 15 minutes. After liver resection surgery, the patient was admitted to Post-op. Twenty-four hours after the operation, the hepatic reserve was assessed using the same technique. On the fifth postoperative day, either in Post-op if the patient continues to be monitored, or on the hospital ward if discharged, an analysis was taken, including blood count, coagulation, biochemistry (including liver function), total bilirubin and prothrombin time.