CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2021; 18(02): 133-137
DOI: 10.1055/s-0041-1725215
Review Article

Approach to Emergent Neurotrauma-related Neurosurgical Procedures in Patients with Hepatic Disease

María Mendoza-Avendaño
1   Faculty of Medicine, Center for Biomedical Research, University of Cartagena, Cartagena, Colombia
,
Ana Ramírez-Carvajal
1   Faculty of Medicine, Center for Biomedical Research, University of Cartagena, Cartagena, Colombia
,
Iván Barreto-Herrera
1   Faculty of Medicine, Center for Biomedical Research, University of Cartagena, Cartagena, Colombia
,
Karen Muñoz-Báez
1   Faculty of Medicine, Center for Biomedical Research, University of Cartagena, Cartagena, Colombia
,
Yancarlos Ramos-Villegas
1   Faculty of Medicine, Center for Biomedical Research, University of Cartagena, Cartagena, Colombia
,
Adesh Shrivastava
2   Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
,
Tariq Janjua
3   Intensive Care Department, Regions Hospital, Saint Paul, Minnesota, United States
,
Luis Rafael Moscote-Salazar
1   Faculty of Medicine, Center for Biomedical Research, University of Cartagena, Cartagena, Colombia
,
Amit Agrawal
2   Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
› Author Affiliations

Abstract

Liver diseases constitute a group of pathologies of extraordinary importance, because of the large number of patients who suffer from these as well as the consequences that they can have on these individuals if they undergo any surgical procedure. Therefore, these patients have greater risk of suffering unfavorable outcomes than a healthy person undergoing emergency neurosurgical procedures (ENP) for neurotrauma. For this reason, there is a need to classify these patients according to their surgical risk based on risk factors secondary to the concurrent hepatic derangements. Among the possible tools that allow us to stage patients with liver disease are the Child–Turcotte–Pugh (CTP) and model for end-stage liver disease (MELD) scales, which have proven utility in effectively predicting the outcomes, including morbidity and mortality in hepatic disease patients who are undergoing surgery. They also help to predict the risk of complications such as intracranial hemorrhage secondary to coagulopathy due to hepatic derangement.



Publication History

Article published online:
23 February 2021

© 2021. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India