Anesthesia for the Patient with Severe Liver Failure.

Abdomen / surgery Anesthesia / methods Blood Coagulation Cardiac Surgical Procedures Humans Liver Failure / complications Monitoring, Intraoperative Pain, Postoperative / prevention & control Wounds and Injuries / surgery
Anesthesia Anesthesia considerations End-stage liver disease Liver failure

Journal

Anesthesiology clinics
ISSN: 1932-2275
Titre abrégé: Anesthesiol Clin
Pays: United States
ID NLM: 101273663

Informations de publication

Date de publication:
Mar 2020
Historique:
entrez: 4 2 2020
pubmed: 6 2 2020
medline: 24 11 2020
Statut: ppublish

Résumé

The incidence of liver failure continues to increase, and it is associated with increased perioperative morbidity and mortality. Liver failure is associated with multiorgan dysfunction, including central nervous, cardiac, respiratory, gastrointestinal, renal, and hematological systems. Preoperative identification, optimization, and tailored anesthetic management are essential for optimum outcomes in patients with liver disease undergoing surgery. The coagulopathy of liver failure is a balanced coagulopathy better assessed by thromboelastography than conventional testing, and it is not directly associated with bleeding risk.

Identifiants

DOI: 10.1016/j.anclin.2019.10.002 PMID: 32008656
pubmed: 32008656
pii: S1932-2275(19)30084-9
doi: 10.1016/j.anclin.2019.10.002
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

35-50

Informations de copyright

Crown Copyright © 2019. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest None.

Auteurs

Aidan Spring (A)

Abdominal Organ Transplantation Anesthesia Fellowship Program, Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, 3 Eaton North, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada.

Jagroop S Saran (JS)

Abdominal Organ Transplantation Anesthesia Fellowship Program, Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, 3 Eaton North, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada.

Sinead McCarthy (S)

Abdominal Organ Transplantation Anesthesia Fellowship Program, Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, 3 Eaton North, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada.

Stuart A McCluskey (SA)

Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, 3 Eaton North, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada. Electronic address: Stuart.McCluskey@uhn.ca.

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Classifications MeSH

questionsmedicales.fr › Régions du corps › Tronc › Abdomen › Anesthesia for the Patient with Severe Liver Failure.
questionsmedicales.fr › Anesthésie et analgésie › Anesthésie › Anesthesia for the Patient with Severe Liver Failure.
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiogiques du sang › Hémostase › Coagulation sanguine › Anesthesia for the Patient with Severe Liver Failure.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie thoracique › Procédures de chirurgie cardiaque › Anesthesia for the Patient with Severe Liver Failure.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Anesthesia for the Patient with Severe Liver Failure.
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies du foie › Insuffisance hépatique › Défaillance hépatique › Anesthesia for the Patient with Severe Liver Failure.
questionsmedicales.fr › Procédures de chirurgie opératoire › Surveillance peropératoire › Anesthesia for the Patient with Severe Liver Failure.
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur postopératoire › Anesthesia for the Patient with Severe Liver Failure.
questionsmedicales.fr › Plaies et blessures › Anesthesia for the Patient with Severe Liver Failure.