Perioperative considerations for patients with liver disease

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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
JournalCleveland Clinic Journal of Medicine
Volume76
Issue numberSUPPL. 4
DOIs
StatePublished - Nov 1 2009

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Liver Diseases
Hepatorenal Syndrome
End Stage Liver Disease
Liver Transplantation
Hypotension
Creatinine
Chronic Disease
Kidney

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Perioperative considerations for patients with liver disease. / Martin, Paul.

In: Cleveland Clinic Journal of Medicine, Vol. 76, No. SUPPL. 4, 01.11.2009.

Research output: Contribution to journalArticle

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