Valoración preanestésica para trasplante hepático ortotópico.

Abstract

Orthotopic liver transplantation is one of the greatest challenges faced by the anesthesiologist, therefore, the importance of a correct pre-anesthetic assessment, in order to bring the patient to the most optimal level possible, based on the clinical characteristics that This can present as a result of the different pathophysiological changes that liver disease entails in multiple systems: neurological, pulmonary, cardiac, renal, coagulation status, fragility, and nutritional status. In addition, it will allow a correct staging of both the disease and the risks related to the surgical act, in order to be able to designate the best strategy adapted to the particular needs of each patient.