The Liver Meeting 2019-Management of Coagulopathy in Cirrhosis

Video Transcription

Video Summary

In the video transcript, a medical professional discusses the approach to managing liver disease patients undergoing procedures like paracentesis, liver biopsy, and endoscopy. They emphasize the limitations of using INR as a predictor of bleeding risk and highlight the importance of factors like platelet count and fibrinogen levels. The transcript touches on studies showing low bleeding rates in these procedures despite abnormal coagulation parameters in cirrhosis patients. They also mention the potential use of viscoelastic testing like thromboelastography to guide transfusion decisions. Ultimately, the speaker shares a case study of managing a patient with hepatitis C-related cirrhosis for an outpatient procedure and advocates for a personalized and evidence-based approach to procedural management in liver disease patients.

Asset Caption

Presenter: Patrick Grant

Keywords

liver disease

procedures

bleeding risk

cirrhosis patients

viscoelastic testing

evidence-based approach