- Coagulation in chronic liver disease is a complex, “balanced” process
- More information is needed about use of clotting tests in cirrhosis
- Risk of thrombosis may be present even in setting of apparent mild, moderate or severe coagulopathy
- Recognize superimposed conditions: sepsis, uremia, hyperfibrinolysis
- Start the use of TEG at your institution to help decrease factor use
- Don’t treat the INR: treat the patient

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