Anaesthetic management of obstructive jaundice. Dr. S. Parthasarathy MD., DA., DNB, MD ( Acu ), Dip. Diab.DCA, Dip. Software statistics PhD ( physio ) Mahatma Gandhi Medical college and research institute , puducherry - India. Anatomy . Functions of liver . The liver is vital for
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Dr. S. Parthasarathy
MD., DA., DNB, MD (Acu),
Dip. Diab.DCA, Dip. Software statistics
Mahatma Gandhi Medical college and research institute ,puducherry- India
The liver conjugates bilirubin, produced from the degradation of the haemoglobin of red cells that are at the end of their normal life span.
carcinomas of the intrahepatic ducts,
primary sclerosing hepatitis
Correct coagulopathy with vitamin K and FFP to achieve prothrombin time within 3 seconds of normal.
Sometimes DDAVP helpful
More in liver disease
Pulmonary vascular dilatations, V A/Q mismatch
: "exercise care if obese, pre-existing liver disease, hypoxia likely“,
avoid if :
over 40 years old, long operation, biliary surgery, female patient, obese, allergic, sepsis, exposure less than 3 months previously
If bilirubin 20 mg%
IV fluids 24 hours before surgery and for 36 hours, postop. IV mannitol 10% 0.5-1g/kg should be administered prior to surgery AND during surgery