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World J Anesthesiol. Nov 27, 2016; 5(3): 54-61
Published online Nov 27, 2016. doi: 10.5313/wja.v5.i3.54
Anesthetic considerations for liver diseases unique to pregnancy
Berrin Gunaydin, Ayca Tas Tuna
Berrin Gunaydin, Department of Anesthesiology, Gazi University School of Medicine, 06500 Ankara, Turkey
Ayca Tas Tuna, Department of Anesthesiology, Sakarya University School of Medicine, 54100 Sakarya, Turkey
Author contributions: Both authors contributed to this manuscript.
Conflict-of-interest statement: We, the authors, declare and sign that we do not have any conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Berrin Gunaydin, MD, PhD, Professor of Anesthesia, Department of Anesthesiology, Gazi University School of Medicine, Besevler, 06500 Ankara, Turkey. gunaydin@gazi.edu.tr
Telephone: +90-312-2025318
Received: April 27, 2016
Peer-review started: April 28, 2016
First decision: June 16, 2016
Revised: July 13, 2016
Accepted: July 29, 2016
Article in press: August 1, 2016
Published online: November 27, 2016
Core Tip

Core tip: Liver diseases like hyperemesis gravidarum, acute fatty liver of pregnancy, intrahepatic cholestasis of pregnancy and hemolysis, elevated liver enzymes and low platelets are challenging for anesthesiologists because of the increased risk of morbidity and mortality. Therefore, general and specific anesthetic management strategies are of utmost important. In this review, the risk factors, etiology, symptoms, diagnosis, prognosis and treatment of these liver diseases during pregnancy and general principles of anesthetic management based on our case report and retrospective records will be addressed.