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• CBC--1.Anemia
2.Thrombocytopenia
3. TLC Indicating Infections
• Liver func. Test-1.PT-diagnostic and prognostic indicator.
2.S.Bilirubin, S.Albumin,SGOT,SGPT
• Analgesic-Remifentanyl is ideal.
-Fentanyl is low doses.
-Avoid Morphine, Alfentanyl.
Intra-Operative Management
• Decreased doses of thiopental, propofol.
• Volatile anesthetic- iso-, sevo-, desflurane are safe--least metabolism, quick emergence
preserve hepatic blood flow.
• Alcoholic disease
• Hepatitis (B and C)
• Drugs
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