Decompensated Cirrhosis and Fluid Resuscitation

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


The critically ill patient with decompensated cirrhosis has a unique physiology and alterations in albumin that need to be understood to properly resuscitate them and minimize morbidity and mortality. Little data exist on specific resuscitation of the patient with cirrhosis compared with those patients without liver disease. The effectiveness of albumin administration compared with saline administration in common settings, such as large-volume paracentesis, can be extrapolated to the care of the general surgical patient but further studies in this area are warranted. This article enhances the understanding of unique physiology of the patient with decompensated cirrhosis to guide their needs in fluid resuscitation in critical illness.

Original languageEnglish (US)
Pages (from-to)1419-1424
Number of pages6
JournalSurgical Clinics of North America
Issue number6
StatePublished - Dec 2017


  • Albumin
  • Antidiuretic hormone
  • Cirrhosis
  • Hepatorenal syndrome
  • Hyponatremia
  • Normal saline

ASJC Scopus subject areas

  • Surgery


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