SCCM Resource Library-Critical Care Management of the Acute Liver Failure Patient

Video Transcription

Video Summary

The presentation focused on the critical care management of acute liver failure (ALF), distinguishing it from the more common acute on chronic liver failure. ALF, characterized by hepatic encephalopathy and often caused by acetaminophen toxicity, presents significant neurological risks, particularly intracranial hypertension. Although patients with ALF due to acetaminophen often recover with ICU support, those with subacute liver failure may require liver transplants. Successful management of ALF includes understanding the etiological differences, using CRRT for hyperammonemia, and adopting neuroprotective strategies. Noninvasive techniques for intracranial pressure monitoring show promise. The improved care strategies over the past 20 years have led to reduced rates of intracranial hypertension and better transplant outcomes. Finally, while prophylactic antibiotic use in ALF remains debated, avoiding sepsis is crucial, especially in non-acetaminophen cases. Overall, advancements in ICU care and techniques have enhanced survival rates and outcomes for ALF patients.

Asset Caption

One-Hour Concurrent Session | Critical Care Management of the Liver Failure Patient: What the Intensivist Should Know

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

acute liver failure

intracranial hypertension

acetaminophen toxicity

neuroprotective strategies

CRRT

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