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- W2068387589 abstract "Anaesthesia for patients with impaired liver function may present a variety of problems to the anaesthetist which can give rise to increased morbidity and mortality. This article will review the risks, discuss the preoperative assessment and give some guidelines for the anaesthetic and postoperative management. It is important to remember that the liver has a large functional reserve and so clinical manifestations of disease may only become apparent at a late stage. In general terms the specific type of liver disease is less important in determining the risks of anaesthesia than the severity of the preoperative liver dysfunction and the nature of the operative procedure. The preoperative assessment of such patients plays a key role in the perioperative anaesthetic management. Over the years several classifications have evolved as a means of determining risk factors for surgery in patients with liver disease and some of the more important ones are summarised in Table 1.’ The anaesthetist may be called upon either to anaesthetise patients for co-existing disease not necessarily related to the known liver pathology or to anaesthetise for specific procedures concerned with the abnormal liver condition itself. As anaesthesia and surgery may both adversely affect liver function, careful preoperative assessment is mandatory." @default.
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- W2068387589 date "1990-09-01" @default.
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- W2068387589 title "Anaesthesia in impaired liver function" @default.
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- W2068387589 doi "https://doi.org/10.1016/0953-7112(90)90005-m" @default.
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