Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 158: Keywords part 8-hepatic disease for the advanced exam and PACU for the basic exam with Gillian Isaac
Jan 28, 2020
Join Dr. Gillian Isaac, a physician specializing in hepatic disease, as she dives into the complexities of liver conditions and their implications in anesthesia. She discusses key preoperative assessments and the significant risks for patients with hepatic disease. The conversation shifts to Post-Anesthesia Care Unit (PACU) challenges, including pain management for opioid-dependent patients and respiratory complications. Dr. Isaac also shares personal book recommendations that blend history and industry insights, making for an engaging and informative listen!
AI Snips
Chapters
Books
Transcript
Episode notes
High Risk in Liver Disease Surgery
- Liver disease causes high perioperative morbidity and mortality.
- End-stage liver disease and pulmonary hypertension are particularly concerning.
Factor VIII Increases in Liver Disease
- Factor VIII levels increase in liver disease, unlike other clotting factors that decrease.
- This affects hemostasis and lab assessment in these patients.
Reperfusion Phase Instability
- The reperfusion phase in liver transplant causes greatest hemodynamic instability.
- This phase risks cardiac arrest from toxins and electrolytes released into circulation.
