Perioperative Care of Patients With Liver Cirrhosis: A Review.

摘要: The incidence of cirrhosis is rising, and identification these patients prior to undergoing any surgical procedure crucial. preoperative risk stratification using validated scores, such as Child-Turcotte-Pugh (CTP) Model for End-Stage Liver Disease, perioperative optimization hemodynamics metabolic derangements, postoperative monitoring minimize the hepatic decompensation complications are essential components medical management. advanced stage cirrhosis, emergency surgery, open surgeries, old age, coexistence comorbidities main factors influencing clinical outcome patients. Perioperative management with warrants special attention nutritional status, fluid electrolyte balance, control ascites, excluding preexisting infections, correction coagulopathy thrombocytopenia, avoidance nephrotoxic hepatotoxic medications. Transjugular intrahepatic portosystemic shunt may improve CTP class, semielective surgeries be feasible. Emergency whenever possible, should avoided.