SCCM Resource Library-Extracorporeal Liver Support for the Failing Liver

Video Transcription

Video Summary

The speaker discusses extracorporeal liver support systems (ECLS) as a strategy to address liver failure, particularly when there is a mismatch between organ transplants available and patient needs. Highlighting the use of albumin dialysis, systems like the MARS, and plasma exchange, the discussion encompasses their roles in supporting recovery and stabilizing patients awaiting liver transplants. The talk emphasizes these systems' capabilities to extract liver-specific toxins, potentially enhancing recovery and survival. There's a specific focus on the efficacy of MARS in reversing hepatic encephalopathy, and high-dose CRT in managing hyperammonemia in acute liver failure. The potential of plasma exchange in improving hemodynamics is explored as a new area of research. The speaker advocates using these methods not just for survival but as bridges to transplant, illustrating the principles with case examples. Additionally, there’s mention of ongoing research into bioartificial liver support systems.

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

extracorporeal liver support

albumin dialysis

MARS system

hepatic encephalopathy

plasma exchange

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