Benefit of N-Acetylcysteine in Postoperative Hepatic Dysfunction: Case Report and Review of Literature

Table 1

Pertinent laboratory values.

Labs (reference range)	Prior to surgery	POD 1	POD 2	POD 3	POD 4	POD 5	POD 6	POD 7
AST (0–37 U/L)	111			3169	5417	3318	1432	863
ALT (17–63 U/L)	50			758	1372	1209	766	607
Total bilirubin (0–1.3 mg/dl)	0.5			2.8	3.5	3.6	3.5	3.3
INR (0.83–1.18)	1.11				2.83	2.23	1.24	1.24
Alk phos (38–126 U/L)				110	119	104	137	215
Albumin (3.5–4.8 g/dl)				3.4	2.6	2.5	2.4	2.7
BUN (6–20 mg/dl)	4	3	6	9	10	8	5	2
Cr (0.9–1.3 mg/dl)	1.36	0.86	1.03	1.08	1.28	0.94	0.79	0.78
Glucose (70–105 mg/dl)	79	105	82	80	58	112	95	99
NH3 (9–35 mcMol/l)						52
Lactate (0.5–2 mmol/L)					6.1	3.1