“Liver Let Die” (Hepatic Physiology & Pathophysiology)
This vessel provides 75% of the liver’s blood supply.
What is the portal vein?
The anesthetic technique used for most laparotomies.
What is general anesthesia with endotracheal intubation or General Endotracheal Anesthesia (GETA)?
The most common chronic liver disease in the U.S.
What is nonalcoholic fatty liver disease (NAFLD)?
This formula is used for initial burn fluid resuscitation.
What is the Parkland formula?
This regional technique is commonly used post-laparotomy.
What is a thoracic epidural?
This response ensures stable oxygen delivery when portal flow drops.
What is the Hepatic Arterial Buffer Response (HABR)?
This life-saving maneuver helps reduce bleeding during liver resection.
What is the Pringle maneuver?
This syndrome involves liver disease and arterial hypoxemia.
What is hepatopulmonary syndrome?
After 24 hours post-burn, avoid this neuromuscular blocker.
What is succinylcholine?
This NMDA antagonist has opioid-sparing effects.
What is ketamine?
Cirrhosis causes this form of hypertension.
What is portal hypertension?
Steep Trendelenburg position is often used in this type of surgical approach.
What is robotic-assisted surgery?
These two drugs reduce ammonia in hepatic encephalopathy.
What are lactulose and rifaximin (or neomycin)?
This happens when fluid resuscitation is excessive, raising intraabdominal pressure above 20 mmHg.
What is abdominal compartment syndrome (ACS)?
This magnesium side effect makes you floppy.
What is prolonged neuromuscular blockade?
This yellow pigment builds up when the liver isn’t working right.
What is bilirubin?
Avoid insufflation with this gas if you want to keep it nonflammable.
What is nitrous oxide (N₂O)?
The gold standard test to detect esophageal varices.
What is esophagogastroduodenoscopy (EGD)?
This gas can shift the oxyhemoglobin dissociation curve left.
What is carbon monoxide (CO)?
One reason NSAIDs are avoided in hypovolemic patients.
What is risk of acute kidney injury (AKI)?
The three lab values used to calculate MELD score.
What are serum bilirubin, serum creatinine, and INR?
Multimodal analgesia can be achieved with PO and IV medications and this kind of regional block for abdominal procedures.
What is a Transversus Abdominis Plane (TAP) block?
This scoring system estimates mortality in cirrhotic patients.
What is the MELD score?
This endocrine complication is common in the hypermetabolic phase and may require insulin therapy.
What is insulin resistance (or stress-induced hyperglycemia)?
Three major patient benefits of the robotic approach compared to open surgery.
What is less postoperative pain, faster recovery, and reduced blood loss?