How Do I Resuscitate the Crashing Cirrhotic Patient?
Cirrhosis places patients at risk for numerous complications, including gastrointestinal bleeding, renal failure, and infection. It is important to maintain a broad differential for the cirrhotic patient who presents in shock to ensure that the correct diagnosis is not missed. Consideration of coagulopathy and the vasodilatory state frequently exhibited by these patients is important when choosing resuscitation fluids and end points. While always an important consideration, coagulopathy should not prevent a provider from performing an emergent, lifesaving procedure.
KeywordsCirrhosis Resuscitation Hypotension Shock Albumin Coagulopathy