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- D Kiamanesh and J Rumley.
- Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
- Br J Anaesth. 2013 Dec 1;111 Suppl 1:i50-61.
AbstractPatients with liver disease have multisystem organ dysfunction that leads to physiological perturbations ranging from hyperbilirubinaemia of no clinical consequence to severe coagulopathy and metabolic disarray. Patient-specific risk factors, clinical scoring systems, and surgical procedures stratify perioperative risk for these patients. The anaesthetic management of patients with hepatic dysfunction involves consideration of impaired drug metabolism, hyperdynamic circulation, perioperative hypoxaemia, bleeding, thrombosis, and hepatic encephalopathy.
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