SCCM Resource Library-Management of Adult Acute and Acute-on-Chronic Liver Failure

Management of Adult Acute and Acute-on-Chronic Liver Failure - 1

Video Transcription

Video Summary

The video discusses guidelines for peritransplant and gastrointestinal considerations, with a focus on acute-on-chronic liver failure and portal hypertensive bleeding. Strong recommendations include early endoscopy within 12 hours, using proton pump inhibitors, and employing somatostatin analogs due to their impact on reducing complications and mortality. There are conditional recommendations for using transjugular intrahepatic portal systemic shunt (TIPS) in certain cases and for large-volume paracentesis in critically ill patients with 10 societies. Peritransplant considerations cover the cautious use of corticosteroids and fluid management strategies. Recommendations are based on varying evidence quality, often conditional due to limited data.

Asset Caption

One-Hour Concurrent Session | New SCCM Guidelines: Liver Failure, New Fever, and Corticosteroids

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

acute-on-chronic liver failure

portal hypertensive bleeding

endoscopy

somatostatin analogs

transjugular intrahepatic portal systemic shunt

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