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Liver failure |
· A: aspiration risk · B: ascites / hydrothorax -> respiratory failure · C: coagulopathy · D: encephalopathy, pain relief · M: hypogylcaemia, hyponatraemia / cerebral oedema |
|
Surgical complications |
· Internal jugular venous access -> neck structures · Intra-hepatic shunt -> liver capsule, arteries, veins, bile ducts |
|
Effect of TIPS |
· ↑Preload -> risk of APO |
|
Remote anaesthesia |
· Poor access to patient · Poor access to help · Physical threats – moving table, ionizing radiation · Unfamiliar people and place |