Clinical Challenges in Emergency General Surgery: Cirrhotic Patients

Behind The Knife: The Surgery Podcast · Apr 3, 2023 · 33m

Please join Drs. Graham Skelhorne-Gross, Jordan Nantais and Ashlie Nadler from our Emergency General Surgery Team for a discussion on cirrhotic patients.

Child-Pugh Score (https://www.mdcalc.com/calc/340/child-pugh-score-cirrhosis-mortality)

· Bilirubin, albumin, INR, ascites, encephalopathy

· Used to predict operative mortality based on cirrhosis severity

· Mortality in EGS:

- Child-Pugh A: 10% electively and 22% emergently

- Child-Pugh B: 30% electively and 38% emergently

- Child-Pugh C: 80% electively and up to 100% emergently

Model for End Stage Liver Disease (MELD)…