TY - CHAP M1 - Book, Section TI - Preoperative Pulmonary Evaluation in Liver Transplant Patients A1 - Talwar, Arunabh A1 - Panthappattu, Justin A1 - Khanijo, Sameer A1 - Rahaghi, Franck F. A2 - Molmenti, Ernesto Pompeo A2 - SantibaƱes, Martin de A2 - SantibaƱes, Eduardo de PY - 2021 T2 - Liver Transplantation: Operative Techniques and Medical Management AB - Patients with advanced liver disease, due to the mechanisms and pathophysiologic changes seen in liver failure, are at increased risk of pulmonary comorbidities (Table 36-1). Along with a thorough general preoperative evaluation, these patients should undergo a complete pulmonary evaluation to determine if any condition should be addressed prior to liver transplantation to prevent complications in the perioperative and postoperative periods (Fig. 36-1). In addition to general preoperative issues, pulmonary complications of end-stage liver disease include elevation of the diaphragm, atelectasis, and pleural effusions, which are attributed to hepatosplenomegaly, ascites, and hypoalbuminemia, respectively.1 Other less common complications include hepatopulmonary syndrome2 and pulmonary hypertension associated with portal hypertension (portopulmonary hypertension [PPHTN]).3 It is important to identify these patients and make sure that they are treated aggressively, as postoperative pulmonary complications in nonthoracic surgery patients have been reported in 2% to 19% of patients.4 This chapter attempts to outline the preoperative pulmonary assessment of liver transplant patients. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1180108394 ER -