Anaesthetic Challenges in A Decompensated Liver Diasease Patient Posted for Bipolar Hemiarthroplasty with A Subarachanoid Blockade

Abstract

Owing to the Increased Incidence of chronic liver disease, the risk of Mortality & Morbidity in Surgery and anesthesia are manifold. Chronic liver disease patients manifest either in compensated state or Decompensated state (Ascites, variceal bleed; Hepatic Encephalopathy, Spontaneous Bacterial Peritonitis, Hepatorenal & Hepatopulmonary Syndrome). Perioperative risk & post-operative outcome can be validated with child Pugh Turcotte scoring and Model for End stage Liver Disease score. (MELD) In this study we would like to share the perioperative Management which was involved in a case of chronic liver disease with elevated LFT; deranged coagulation profile. However with proper pre-operative Evaluation & Optimization, perioperative care the complications and mortality can be minimized.