Abstract
Rapid transfusion of blood products and the presence of ionic changes as hypocalcaemia and hyperkalaemia are common in liver transplantation. The objective of this paper is to give the reader a clear and practical description of the etiological factors, biochemical mechanisms, diagnosis and treatment of the calcium and potassium plasmatic disorders associated with massive transfusion. The peculiarities that arise in the clinical setting of liver transplant surgery and citrate intoxication are highlighted. A non-systematic review of literature was conducted in MEDLINE, OVID and Cochrane databases. Correct and early anaesthetic management of calcium and potassium disorders prevents serious complications in intraoperative bleeding risk surgeries such as liver transplantation.
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