Open AccessThe safety of ultrasound guided central venous cannulation in patients with liver disease
Author(s) -
Sukhbir Singh,
Sandeep Sharma,
Anshuman Singh,
Anil Kumar Singh,
Utpal Sharma,
Ajeet Singh Bhadoria
Publication year - 2015
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.152842
Subject(s) - medicine , coagulopathy , liver disease , ascites , hematoma , incidence (geometry) , surgery , univariate analysis , prothrombin time , multivariate analysis , physics , optics
Central venous cannulation (CVC) is frequently required during the management of patients with liver disease with deranged conventional coagulation parameters (CCP). Since CVC is known to be associated with vascular complications, it is standard practice to transfuse Fresh-Frozen Plasma or platelets to correct CCP. These CCP may not reflect true coagulopathy in liver disease. Additionally CVC when performed under ultrasound guidance (USG-CVC) in itself reduces the incidence of complications.