MELD+ Perioperative Risk Brief

MELD+ is an educational clinical decision-support reference for the perioperative care of liver transplant patients — built for anesthesiologists, hepatologists, and transplant surgeons. It is not a medical device. CALCULATE THE SCORES THAT MATTER • MELD 3.0 — the current OPTN allocation score (2023), with the sex coefficient and albumin • MELD-Na — the prior standard, shown side by side • Child-Pugh class Every score shows its exact formula and primary reference on tap. PERIOPERATIVE RISK BRIEF • Composite perioperative risk overview (heuristic, kept distinct from the MELD score) • Renal / CRRT initiation thresholds and fluid protocol • Cardiac and pulmonary workup prompts • Pulmonary function (PFT) outcome prediction • Liver Frailty Index layer • Smoking / pack-year and BMI workup • Portal hypertension — TIPS and portal vein thrombosis outcomes • Enlarged red-flag alerts, text and pinch zoom PRIVACY BY DESIGN Session-only. No patient data is stored, transmitted, or logged — all computation is local to your device. Works fully offline. Every recommendation is tied to peer-reviewed literature or published OPTN policy, listed in the Sources tab. IMPORTANT: MELD+ is an educational reference and clinical decision-support aid. It is not a medical device and does not diagnose, treat, or replace clinical judgment, institutional protocol, or current OPTN policy. Verify all values against primary sources. Developed by Saifeldin A. Mahmoud, MD, PhD — Director of Liver Transplant Anesthesia.