SCCM Resource Library-Joint SCCM-ESPNIC Session: Because You Can Does Not Mean You Should: How Far Can One Go in Liver ICU?

Joint SCCM-ESPNIC Session: Because You Can Does Not Mean You Should: How Far Can One Go in Liver ICU?

Video Transcription

Video Summary

The presentation primarily focused on the use of extracorporeal membrane oxygenation (ECMO) in patients with liver disease. The speaker discussed the increasing inclusion of patients with liver disease as ECMO candidates despite traditional guidelines that consider acute liver failure a relative contraindication due to risks like bleeding and sepsis. The talk highlighted advancements in technology and patient care, allowing similar outcomes for liver patients on ECMO as seen in broader pediatric ECMO populations. The history of ECMO and liver transplantation was reviewed, noting significant milestones such as the invention of the heart-lung machine and the first successful use of ECMO in the 1970s. Case studies from Stanford illustrated successful ECMO use in liver disease patients, emphasizing the importance of early and preventative ECMO initiation to improve outcomes. The speaker also stressed the need for careful patient selection, adequate preparation, and the development of clear standards and protocols for ECMO use in liver disease patients to prevent complications and improve patient outcomes. The presentation concluded with a call for the establishment of standards and the sharing of knowledge to better support challenging cases involving ECMO and liver transplantation.

Asset Caption

One-Hour Concurrent Session | Joint SCCM-ESPNIC Session: Because You Can Does Not Mean You Should: How Far Can One Go in Liver ICU?

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

ECMO

liver disease

acute liver failure

bleeding risks

sepsis

pediatric ECMO

heart-lung machine

case studies

patient outcomes

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