oa Southern African Journal of Anaesthesia and Analgesia - The patient with cirrhosis who presents for non-hepatic surgery : refresher course



There is significant risk involved in subjecting patients with liver cirrhosis to surgery. Advanced liver disease is associated with systemic dysfunction affecting the cardiovascular, respiratory, renal, gastrointestinal, immunological, haematological, coagulation, endocrine and central nervous systems. Perioperative risk stratification can be very challenging. This is aggravated by the fact that cirrhosis is often indolent and asymptomatic until patients present with complications of the disease.


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