The Anesthesiologist’s Impact on Bleeding Control During Liver Surgery
Authors
Rudin Domi1, Hektor Sula1, Ilir Ohri1, Arben Beqiri2, Myzafer Kaci2, Gjergj Andrea2, Haki Laho3 and Astrit Xhemali2 1Department of Anesthesiology and Intensive Care; 2Department of General Surgery, “Mother Teresa” University Hospital Center, Tirana, Albania; 3Department of Medicine, Albert Einstein College of Medicine, NY, USA
Liver surgery is often associated with increased likelihood of massive bleeding. The blood loss is one of major intraoperative issue the surgical team must deal with. Bleeding is usually present in cirrhotic patients but can be faced even in the patients with normal liver function undergoing liver surgery. Correction of preoperative abnormal coagulation’s tests, strong interaction between the surgeon and the anesthesiologist, and finally the anesthesia technique, may successfully reduce the bleeding intensity and blood transfusions requirements. This review will be focused only in the anesthesiologist’s role in minimizing the blood loss during major liver surgery.
