AI Snips
Chapters
Transcript
Episode notes
Manage Portopulmonary Hypertension
- Treat portopulmonary hypertension to reduce pulmonary artery pressures below 35 mmHg.
- Refer liver disease patients with pulmonary hypertension to transplant centers for optimal management and transplant eligibility.
Hepatopulmonary Syndrome Insights
- Hepatopulmonary syndrome causes intrapulmonary vascular dilations leading to severe hypoxemia characterized by orthodeoxia and platypnea.
- It is often reversible with liver transplant, making supportive care and transplant evaluation critical.
Manage Hepatic Hydrothorax
- Use TIPS to decrease portal pressures and manage hepatic hydrothorax when possible.
- If TIPS is not an option, consider therapeutic thoracentesis or pleural drainage to relieve symptoms, which may lead to spontaneous pleurodesis.