Impact of Liver Disease on Use of Muscle Relaxants in Anesthesia: A Comprehensive Review

Introduction Liver Function Tests and Assessment of Liver Function AST and ALT The De Ritis Ratio Chronic Liver Disease Liver Cirrhosis Steatotic Liver Disease Acute Liver Failure Acute-On-Chronic Liver Failure Characteristic of Succinylcholine Impact of Hepatic Insufficiency on Succinylcholine Use Characteristics of Benzylisoquinolones Atracurium Characteristic and Its Use in Hepatic Insufficiency Cisatracurium Characteristic and Its Use in Hepatic Insufficiency Mivacurium Characteristic and Its Use in Hepatic Insufficiency Aminosteroids Charateristics Pipecuronium Characteristics and Uses in Liver Insufficiency Pancuronium Characteristics and Use in Patients with Hepatic Insufficiency Vecuronium Characteristic and Its Use in Hepatic Insufficiency Rocuronium Characteristic and Its Use in Hepatic Insufficiency Neostigmine and Its Use in Hepatic Insufficiency Sugammadex Characteristic and Its Use in Hepatic Insufficiency Summary of Neuromuscular Blocking Agents Use in Hepatic Insufficiency and Actual Recommendations Future Directions Conclusions References

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