Take Special Precautions When Patients With Cirrhosis Undergo Surgery

January 2019

You'll see more emphasis on perioperative care of cirrhosis patients...due to a higher risk of death and other surgical complications.

Coagulation. Cirrhosis patients walk a fine line between bleeding and clotting...because they have prothrombotic (clotting factors, platelets, etc) AND antithrombotic (protein C, etc) deficiencies.

Consider a thromboelastography (TEG) test, if available, to guide the need for a pre-op transfusion. TEG assesses clotting function and strength...and may help avoid fresh frozen plasma, platelets, etc.

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