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- W2913315142 abstract "Liver dysfunction can range from elevation of liver enzymes with no clinical disease to fulminant liver failure. Fortunately, veterinary patients rarely present for anesthesia with severe liver disorders leading to hepatic failure such as cirrhosis or hepatitis. The most sensitive and specific test for hepatobiliary dysfunction is preprandial and postprandial measurement of bile acids. Since the liver and diaphragm/thoracic cavity are in close proximity, surgical manipulation may impinge on lung and thoracic wall excursions, resulting in hypoventilation. Care must be taken to reduce the mechanical restriction of breathing, especially in small patients. Patients presenting with portal venous shunts are typically the most severe cases of hepatic dysfunction encountered by the veterinary anesthetist. They often have clinical signs and laboratory abnormalities consistent with hepatic failure. It is important to manage these abnormalities throughout the entire perioperative period, not just while on the operating table." @default.
- W2913315142 created "2019-02-21" @default.
- W2913315142 creator A5040639533 @default.
- W2913315142 date "2014-10-24" @default.
- W2913315142 modified "2023-09-23" @default.
- W2913315142 title "Hepatobiliary Disease" @default.
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- W2913315142 doi "https://doi.org/10.1002/9781118834305.ch4" @default.
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