In what scenario do you obtain ammonia levels in a patient with cirrhosis?

Very few people check ammonia levels now in patients with cirrhosis. It turns out that it’s not a really accurate measure, and it’s also difficult to draw and get to the laboratory. I think we need to use clinical judgment to diagnose encephalopathy and, of course, the opinion of close relatives.

There is no role of ammonia level in patients with cirrhosis.