ArticleCureus2025
Regional Anesthesia in a Cirrhotic Patient With Coagulopathy and Pulmonary Hypertension: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
End-stage liver disease increases perioperative risk due to cirrhosis-related complications such as portal hypertension, coagulopathy, ascites, encephalopathy, and impaired anesthetic metabolism. Although regional anesthesia may reduce these risks compared to general anesthesia, its use is often limited in this population due to coagulopathy and altered drug metabolism. We present the successful use of an axillary brachial plexus block with bupivacaine for olecranon bursa excision in a 72-year-old man with ASA (American Society of Anesthesiologists) IV physical status classification and a MELD-Na (Model for End-Stage Liver Disease-Sodium) score of 15, complicated by coagulopathy, portal hypertension, and pulmonary hypertension. This case highlights the feasibility of regional anesthesia in high-risk cirrhotic patients with abnormal coagulation profiles.
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