Perioperative considerations for patients with liver disease

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


In surgical patients with underlying chronic liver disease, surgical outcomes correlate with hepatocellular function. The risk of surgery in such patients should be assessed preoperatively using the Child-Pugh or Model for End-Stage Liver Disease (MELD) severity scoring systems. Patients with severe liver disease (eg, Child-Pugh class C) should not undergo any elective surgery and should be evaluated for liver transplantation. In patients who can proceed with surgery, coagulopathy should be corrected preoperatively and careful fl uid management is required intraoperatively to avoid hypotension. Renal insuffi ciency (as evidenced by elevated creatinine) may indicate that hepatorenal syndrome has developed and carries a poor prognosis.

Original languageEnglish (US)
Pages (from-to)S93-S97
JournalCleveland Clinic journal of medicine
Issue numberSUPPL. 4
StatePublished - Nov 2009

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'Perioperative considerations for patients with liver disease'. Together they form a unique fingerprint.

Cite this