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Is the Model for End-Stage Liver Disease (MELD) Score the Best Way to Evaluate Liver Transplant Patients Preoperatively?

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Abstract

A 52-year-old male with a past medical history of hepatitis C cirrhosis, hypertension, hyperlipidemia, and a body mass index of 34 presents for deceased donor liver transplantation. He has been on the liver transplant list for 6 months. His international normalized ratio (INR) is 2.1, creatinine is 1.6, and total bilirubin is 8.4, and he has never undergone renal replacement therapy. As a result, his preoperative Model for End-Stage Liver Disease (MELD) score is 27. In the holding area, he responds appropriately to most questions, although his wife reports that he has seemed more confused in the past 2 days. On physical exam, you note that the patient is diffusely jaundiced, has spider angiomas, and has marked ascites.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, New York, 10029, USA

    Benjamin Heller

  2. Department of Anesthesiology, Division of Liver Transplantation, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, 8th Floor, New York, New York, 10029, USA

    Jeron Zerillo

Authors
  1. Benjamin Heller
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  2. Jeron Zerillo
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Corresponding author

Correspondence to Jeron Zerillo .

Editor information

Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan

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Heller, B., Zerillo, J. (2017). Is the Model for End-Stage Liver Disease (MELD) Score the Best Way to Evaluate Liver Transplant Patients Preoperatively?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_66

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_66

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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