Description

Performing liver function tests on a patient prior to surgery is only necessary if the patient has a condition that is associated with liver disease or if perioperative management would be significantly affected by the presence of liver disease.


 

Indications for measuring a patient's liver function tests prior to surgery:

(1) history of significant liver disease

(2) history of ethanol abuse

(3) history of hepatitis or jaundice

(4) history of contact with someone with hepatitis during the past 6 months

(5) significant weight change (gain or loss) in the past year

(6) prolonged bleeding from cuts or easy bruisability

(7) vomiting of blood or coffee-grounds like material

(8) change in bowel habits or a change in stool color

(9) history of therapy with a drug having a significant risk of liver injury

(10) obesity, diabetes and other risk factors for nonalcoholic steatohepatitis

(11) presence of ascites

 

A patient with none of these findings probably does not need liver function tests measured prior to surgery,

 


To read more or access our algorithms and calculators, please log in or register.