Question

A 55-year-old female patient who is positive for MRSA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to convert to an open cholecystectomy.

What three medications that might be used to control bleeding on the liver bed intraoperatively.?

The surgeon is concerned that the patient might have some postoperative liver inflammation leading to nausea and vomiting. What single medication would the surgeon ask the anesthesia care provider to give intraoperatively to treat this possibility?

Answer 1

Answer: In the case of the laparoscopic cholecystectomyunexpected bleeding from the liver bed could occur. Hence the surgeon needs to administer the patient with the medication belongs to prevent the bleeding.These drugs are also known as the Microfibrillar Collagen Hemostat:

• Avitene
• Helistat-Instat
• Ultrafoam

Propofol is a choice of drug given in the case of the anesthesia. It has very minimum side effects. It doesn't causes liver inflammation. This is a drug which is usually given to the patient having liver disease.