Assessment and management of the patient with Cirrhosis undergoing surgery

Surakit Pungpapong, David P. Nunes

Research output: Chapter in Book/Report/Conference proceedingChapter


A significant number of cirrhotic patients require nonhepatic surgery, most frequently repair of hernias, cholecystectomy, and peripheral surgery. The perioperative management of these patients can be challenging and there are limited controlled data to guide clinical decision making. Similarly, there are few controlled studies on pain management in cirrhotic patients, such that both the management of pain and surgical management of these patients are largely empirical, guided by clinical outcomes and case series. In this chapter, we review the perioperative management and use of analgesics in this population.

Original languageEnglish (US)
Title of host publicationComplications of Cirrhosis
Subtitle of host publicationEvaluation and Management
PublisherSpringer International Publishing
Number of pages9
ISBN (Electronic)9783319136141
ISBN (Print)9783319136134
StatePublished - Jan 1 2015


  • Acetaminophen
  • Child-Turcotte-Pugh score
  • MELD score
  • NSAIDs
  • Opioids
  • Portal hypertension

ASJC Scopus subject areas

  • Medicine(all)


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