Dichloroacetate stabilizes the intraoperative acid‐base balance during liver transplantation
Robert E. Shangraw, Deirdre Lohan‐Mannion, Agnes Hayes, Rose M. Moriarty, Rongwei Fu, Stephen T. Robinson – 25 June 2008 – Lactic acidosis occurs during orthotopic liver transplantation (OLT), especially during the anhepatic and early postreperfusion phases. Dichloroacetate (DCA) inhibits pyruvate dehydrogenase kinase‐1, indirectly activating mitochondrial pyruvate dehydrogenase. This, in turn, markedly reduces systemic lactate production and, to a lesser extent, increases hepatic lactate uptake. The result is moderation of lactic acidosis in many clinical conditions.