Portal Hypertension
First Things First (assess for & address the following)
- Diagnosis of underlying liver disease
- Portal hypertension is a result of cirrhosis or portal vein thrombosis (PVT)
- Presinusoidal, sinusoidal, and postsinusoidal cirrhosis
- Portal hypertension is a result of cirrhosis or portal vein thrombosis (PVT)
- Estimation of functional hepatic reserve
- Useful in predicting operative outcomes and prognosis in patients not undergoing operation
- Child-Pugh classification
- MELD score
- Useful in predicting operative outcomes and prognosis in patients not undergoing operation
- Definition of portal venous anatomy and hepatic hemodynamics
- Has pt had any manipulation of the portal venous system?
- TIPS
- Surgical porto-systemic shunts
- How high is the pressure of the portal vein?
- Has pt had any manipulation of the portal venous system?
- Identify site of upper GI hemorrhage (if present)
- Esophagogastric variceal bleeding is the most life-threatening complication of portal hypertension (responsible for 1/3 deaths in cirrhotic patients).
- Variceal bleeding is worse in pts with cirrhosis than those with more normal hepatic function (PCT).
There's more to see -- the rest of this topic is available only to subscribers.
Last updated: April 29, 2010
Citation
"Portal Hypertension." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534261/all/Portal_Hypertension.
Portal Hypertension. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534261/all/Portal_Hypertension. Accessed December 11, 2024.
Portal Hypertension. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534261/all/Portal_Hypertension
Portal Hypertension [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 December 11]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534261/all/Portal_Hypertension.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Portal Hypertension
ID - 534261
Y1 - 2010/04/29/
BT - Pocket ICU Management
UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534261/all/Portal_Hypertension
PB - PocketMedicine.com, Inc
DB - Anesthesia Central
DP - Unbound Medicine
ER -