Marcel Uhliar
Patients with liver cirrhosis often undergo invasive elective procedure. Risk of decompensation liver cirhosis increase
by any elective surgery under general anaesthesia carries. To indicate the patient is used risk stratification (scoring
criteria). The choice of surgical technique and optimal anaesthesia, management of abnormalities of haemostasis are
modified risk factors. The development of the liver cirhosis arise unstable equilibrium, fluid-coagulopathy balance. The
patient is then after a little insult subject to the risk of bleeding as well as thrombosis. The aim of this work is to highlight
the major changes in the perioperative management of patients with liver cirhosis undergoing operation with
high degrease of invasivity. Identify risk group patients with liver cirhosis and useing of personalized thromboelastometry
(TEM) guided therapy has the main influence of incidence perioperative bleeding and thrombotic complications.
Using TEM guided therapy of high risk patients with ESLD is more efective tool to decrease perioperative morbidity
and mortality.