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Chronic sdh removal and complications
My mother who had history of liver cirrhosis and 2episodes of hepatic encephalopathy was diagnosed to have sdh(left frontal) following a fall from cot..burrhole craniectomy (stp)was done as per advice..2 days prior to surgery her pt- 17 s..inr 1.32 ....bt-2mts..ct-4mts....she was given vit.k for two days and was taken for surgery...in the immediate post op she had intracerbral(left parie )hemorrhage for which they did open craniotomy.. after this we were informed that her coagulation is not normal...and altigether she was given 13 units of ffp and 4 pints of prbc in the next five days..isnt it mandatory to check pt inr immediately before surgery?was it possible to give ffp prior to surgery to correct abnormal values..and she was given normal saline as iv fluid..is this contraindicated in cirrhosis.her blood ammonia kevel was first checked on fifth day aftr surgery and it was 264.. is 5 days continous midazolam atracurium infusion necessary after open craniotomy in a cirrhotic patient?
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Her coagulation waa checked as per your details. Patients of liver cirrhosis usually have bleeding problems and problems due to hepatic encephalopathy. Sedation is many times required as per the judgement of the treating team. A bumpy course of events is not uncommon in such cases. An unfavourable outcome should not always be seen in suspicion. I am sure the treating team would be doing there best. Keep faith in the team and do take second opinion with all thereports from a specualist of the same field. But avoid being judgemental just because of poor response and complications. Ask all your concerns with your doctor and then most if your apprehensions may be answered.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.