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Hepatorenal Syndrome (HRS)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Renal DysfunctionAvoid HypotensionAvoid HypovolemiaOptimize HydrationHyponatremiaUnstable ElectrolytesOptimize ElectrolytesAnemiaBlood Loss (Excessive)Delayed EmergenceSepsisEdemaAspirationReduced Cardiac OutputAscitesHepatic Dysfunction

Pathophysiology

Hepatorenal syndrome (HRS) is functional acute kidney injury in advanced liver disease. The kidneys are histologically normal with no proteinuria, and function recovers after liver transplant....

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