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Portal Hypertension

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

AnemiaAspirationFull StomachRSIAvoid HypertensionAvoid HypotensionAvoid VasoconstrictorsBlood Loss (Excessive)HypovolemiaOptimize ElectrolytesHypokalemiaHyponatremiaRenal DysfunctionDelayed EmergenceEdemaSepsisAvoid HypoxiaAscitesCoagulopathyThrombocytopenia

Pathophysiology

Portal hypertension is a raised pressure gradient between the portal venous system and the hepatic vein or inferior vena cava. Normal is 5 mmHg or less. A hepatic venous pressure gradient of 6 mmHg...

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