医学
磷脂酰乙醇
候选资格
禁欲
肝移植
饮酒量
输血
输血医学
移植
重症监护医学
内科学
酒
精神科
生物化学
化学
政治
政治学
法学
磷脂
遗传学
膜
磷脂酰胆碱
生物
作者
Jessica A.S. Wang,Geovani Moreira da Cruz,Akshay Shetty,Dinora F. González‐Esquivel,Sammy Saab,Steven Shoptaw,Julio Meza
标识
DOI:10.1097/adm.0000000000001424
摘要
Abstract Phosphatidylethanol (PEth) testing is becoming increasingly common as a tool to assess for alcohol consumption in the practice of addiction medicine. Its potential to be an objective measure of ethanol exposure is appealing; however, the field has yet to develop a complete understanding of the factors that can influence a PEth level. Here we describe 3 patient cases in which blood transfusion within the preceding 28 days was the reason that PEth studies were positive in patients undergoing liver transplant evaluation. These patients all had in-depth evaluations by physicians on an addiction medicine consult service and were believed abstinent from alcohol. In the field of liver transplant, even a mildly elevated PEth level can result in listing delay or even liver transplant candidacy denial. Further study is needed to understand how PEth is impacted by medical procedures and events such as blood transfusion if we are to maintain a just and ethical practice in the setting of addiction and transplant medicine.
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