3.4 LIVER FUNCTIONS
Those with acute viral hepatitis have a 9% risk of mortality.
Those with acute fulminant hepatic failure have an 85% mortality.
3.5 PULMONARY
Infections and chronic obstructive airway disease increase the
risk of post-operative complications.
Thus, risk is increased in patients with asthma and with a
history of heavy smoking.
This information is required to set into motion an action plan
which is directed:
i) Correct the effects of the disease process for which he
is undergoing surgery.
ii) Correct the effect of any inter-current disease so as
to reduce risk.
iii) Identify the need for intra-operative monitoring
devices.
iv) Make correct choice of anaesthetic technique to be
employed.
v) Plan post-operative care.
vi) Prepare the patient emotionally for the anaesthetic
experience.
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