Even though, it generally correlates with perioperative mortality, this relationship is not perfect because of multiple factors influencing the perioperative outcome. Patients with severe liver disease are assigned a score of 3 or more. It is a six category physical status classification system to assess the physical state of the patient prior to selecting for anaesthesia or performing surgery. The purpose of this review is to (1) discuss the effect of liver disease on perioperative outcome (2) understand various risk scoring systems and their prognostic significance (3) delineate different preoperative variables implicated in postoperative complications and morbidity (4) establish the effect of nature and type of surgery on postoperative outcome in patients with liver disease and (5) discuss optimal anaesthesia strategy in patients with liver disease.Īmerican Society of Anaesthesiologists physical status classification The effect of nature and type of surgery on perioperative morbidity and mortality is also important. Careful preoperative assessment and risk stratification in these patients is therefore of paramount importance. But there are appreciable risk factors which are present perioperatively when these patients undergo surgery under anaesthesia. The number of patients with liver disease presenting for various surgical interventions are increasing. PERIOPERATIVE RISK FACTORS IN PATIENTS WITH LIVER DISEASE UNDERGOING NON-HEPATIC SURGERY The purpose of this review is to discuss the effect of liver disease on perioperative outcome to understand various risk scoring systems and their prognostic significance to delineate different preoperative variables implicated in postoperative complications and morbidity to establish the effect of nature and type of surgery on postoperative outcome in patients with liver disease and to discuss optimal anaesthesia strategy in patients with liver disease. Optimization of premorbid factors may help to reduce perioperative mortality and morbidity. A review of literature suggests nature and the type of surgery in these patients determines the peri-operative morbidity and mortality. Preoperative assessment can predict survival to some extent in patients with liver disease undergoing surgical procedures. These complications may result in considerable morbidity and mortality. Surgery may lead to complications in a significant proportion of these patients. The patients with liver disease present for various surgical interventions.

Cirrhosis meld score 20