MELD+ Perioperative Risk Brief

IMPORTANT MEDICAL DISCLAIMER MELD+ is a reference and educational tool for licensed healthcare professionals. It does not diagnose, treat, cure, or prevent any disease and is not a regulated medical device. The information it provides is not medical advice and is not a substitute for professional clinical judgment. Always seek the advice of a qualified physician in addition to using this app, and consult a physician before making any medical decision. Never disregard or delay seeking professional medical advice because of anything you read in this app. All scores and recommendations are drawn from published, peer-reviewed literature and public allocation policy; citations with source links are provided in the app's Sources tab and under Plan > Evidence Base.

MELD+ is a point-of-care clinical decision support tool built for liver transplant anesthesiologists, hepatologists, and transplant surgeons. Enter patient labs and clinical history and get an instant, structured perioperative risk brief.

WHAT MELD+ DOES

• MELD-Na and Child-Pugh calculated live with score breakdown and risk tier
• Cardiac workup guidance: DSE limitation in ESLD, LVOTO, AF management, coronary angiography thresholds
• Pulmonary workup: HPS bubble echo, Tc-99m MAA shunt quantification, RHC indications for PoPH
• TEG/coagulation interpretation: R-time, MA, LY30 with targeted transfusion guidance
• Red flags: hyponatremia/ODS risk, hyperfibrinolysis, severe PoPH, DCD allograft, variceal bleed history
• Intraoperative monitoring and phase-by-phase hemodynamic plan (dissection, anhepatic, reperfusion)
• Post-reperfusion HPS hypoxemia algorithm
• Pain management, veno-venous bypass protocol, fluid and acid-base strategy

WHO IT IS FOR Liver transplant anesthesiologists, hepatologists, transplant surgeons, fellows, and residents.

PRIVACY

• No login and no accounts.
• No data collected, stored, or transmitted.
• Works fully offline.

Every recommendation is grounded in peer-reviewed literature. MELD+ is a clinical decision support tool intended for licensed medical professionals. It does not replace clinical judgment, institutional protocols, or formal diagnostic studies.