Abstract
A 52-year-old male with a past medical history of hepatitis C cirrhosis, hypertension, hyperlipidemia, and a body mass index of 34 presents for deceased donor liver transplantation. He has been on the liver transplant list for 6 months. His international normalized ratio (INR) is 2.1, creatinine is 1.6, and total bilirubin is 8.4, and he has never undergone renal replacement therapy. As a result, his preoperative Model for End-Stage Liver Disease (MELD) score is 27. In the holding area, he responds appropriately to most questions, although his wife reports that he has seemed more confused in the past 2 days. On physical exam, you note that the patient is diffusely jaundiced, has spider angiomas, and has marked ascites.
| Original language | English |
|---|---|
| Title of host publication | You're Wrong, I'm Right |
| Subtitle of host publication | Dueling Authors Reexamine Classic Teachings in Anesthesia |
| Publisher | Springer International Publishing |
| Pages | 229-231 |
| Number of pages | 3 |
| ISBN (Electronic) | 9783319431697 |
| ISBN (Print) | 9783319431673 |
| DOIs | |
| State | Published - 1 Jan 2016 |
Keywords
- Child-turcotte-pugh (CTP) score
- Liver transplant anesthesiology
- Model for end-stage liver disease (MELD) score
- Transplant list
- United network of organ sharing (UNOS)