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Assessment and Management of the Patient with Cirrhosis Undergoing Surgery

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Complications of Cirrhosis

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Abstract

A significant number of cirrhotic patients require nonhepatic surgery, most frequently repair of hernias, cholecystectomy, and peripheral surgery. The perioperative management of these patients can be challenging and there are limited controlled data to guide clinical decision making. Similarly, there are few controlled studies on pain management in cirrhotic patients, such that both the management of pain and surgical management of these patients are largely empirical, guided by clinical outcomes and case series. In this chapter, we review the perioperative management and use of analgesics in this population.

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Author information

Authors and Affiliations

  1. Department of Transplant, Mayo Clinic School of Medicine, 4500 San Pablo Road, 32224, Jacksonville, FL, USA

    Surakit Pungpapong MD

  2. Boston University, 85E Concord St, 02118, Boston, MA, USA

    David P. Nunes MD, FRCPI

Authors
  1. Surakit Pungpapong MD
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  2. David P. Nunes MD, FRCPI
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Corresponding author

Correspondence to Surakit Pungpapong MD .

Editor information

Editors and Affiliations

  1. Department of Transplant, Mayo Clinic, Jacksonville, Florida, USA

    Andrew P. Keaveny

  2. Institut de Malalties Digestives i Metaboliques, University of Barcelona, Barcelona, Spain

    Andrés Cárdenas

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Pungpapong, S., Nunes, D. (2015). Assessment and Management of the Patient with Cirrhosis Undergoing Surgery. In: Keaveny, A., Cárdenas, A. (eds) Complications of Cirrhosis. Springer, Cham. https://doi.org/10.1007/978-3-319-13614-1_28

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  • DOI: https://doi.org/10.1007/978-3-319-13614-1_28

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