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Chapter 53 - Ascites

from Section 5 - Hepatic and Gastrointestinal

Published online by Cambridge University Press:  03 August 2023

By
Taylor Bowman
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 50-year-old man with a history of liver cirrhosis secondary to alcohol abuse presents for an exploratory laparotomy for a suspected bowel obstruction. His blood pressure is 100/50 mm Hg and his heart rate is 92. His abdomen is severely distended with ascites. How does his liver cirrhosis and ascites affect your anesthetic plan? Would you like any pre-operative tests? Should his ascites be drained prior to the surgery?

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Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 232 - 234
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1313–14.Google Scholar
Butterworth, JF, Mackey, DC, Wasnick, JD. Morgan & Mikhail’s Clinical Anesthesiology, 5th ed. New York: McGraw Hill. 2013, pp. 707–18Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 433–7.Google Scholar
Hines, M. Stoelting’s Anesthesia and Co-existing Disease, 5th ed. New York: Churchill Livingstone, 2008, chapter 11.Google Scholar
Lindsay, AJ, Burton, J, Ray, CE. Paracentesis-induced circulatory dysfunction: a primer for the interventional radiologist. Semin Intervent Radiol 2014;31:276–278.CrossRefGoogle ScholarPubMed

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