Cirrhosis Perioperative Mortality - Medical Algorithm

Are you evaluating a patient with cirrhosis who has undergone surgery?

Yes

Was the surgery elective?

Yes

Was the surgical procedure prolonged?

Yes

Was the patient hypotensive during the surgery?

Yes

Does the patient show evidence of?

• ascites?

Yes

• hepatic encephalopathy?

Yes

• jaundice?

Yes

• portal hypertension?

Yes

• an abnormal quantitative liver function test?

Yes

Preoperatively did the patient show evidence of?

• serious infection (pneumonia, sepsis, etc.)?

Yes

• anemia?

Yes

• malnutrition?

Yes

• hypoalbuminemia?

Yes

• hypoxemia?

Yes

• a prolonged prothrombin time, uncorrected by vitamin K administration?

Yes

• renal failure?

Yes

• moderate or thrombocytopenia?

Yes

• heart failure?

Yes

Type of surgery

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Specialty

Objective

ICD-10

Risk Factors of Friedman for Perioperative Complications in Patients with Cirrhosis Undergoing Surgery

Purpose: To identify risk factors for perioperative complications in a patient with cirrhosis.