SCCM Resource Library-Monitoring and Treatment fo Hepatic Encephalopathy

Video Transcription

Video Summary

In this video, the speaker discusses the diagnosis and treatment of hepatic encephalopathy. They talk about the different stages of encephalopathy and the scoring systems used to assess them. They emphasize the importance of identifying the underlying cause of liver failure in order to treat the encephalopathy effectively. The speaker also discusses the role of fluid management and nutrition support in managing hepatic encephalopathy. They recommend lactulose as the treatment of choice for reducing ammonia levels and discuss the use of rifaximin and nitazoxanide in certain cases. Continuous renal replacement therapy may also be considered in patients who do not respond to medical therapy. The speaker also mentions the potential use of mannitol or hypertonic saline for treating cerebral edema associated with hepatic encephalopathy. They highlight the importance of early detection and treatment of cerebral injury. Overall, the speaker provides a comprehensive overview of the diagnosis and management of hepatic encephalopathy.

Asset Subtitle

GI and Nutrition, Neuroscience, 2023

Asset Caption

Type: two-hour concurrent | Liver Failure in the Pediatric ICU: Current Controversies (Pediatrics) (SessionID 1191837)

Meta Tag

Content Type Presentation

Knowledge Area GI and Nutrition

Knowledge Area Neuroscience

Membership Level Professional

Membership Level Select

Tag Liver

Tag Encephalopathy

Year 2023

Keywords

hepatic encephalopathy

diagnosis

treatment

liver failure

ammonia levels

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