Abstract
The critical care management of cirrhotic patients involves a multidisciplinary team approach, including the hepatologist and intensivist, to address life-threatening complications and to provide comprehensive care for multi-organ failure commonly seen in these patients. A systematic approach to the diagnosis and therapy of multi-organ system dysfunction is essential to optimize the intensive care management of these complex patients, with a goal to stabilize them for possible liver transplantation. This review provides a system-based approach for the intensive care management of critically ill cirrhotic patients.
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Abbreviations
- AMS:
-
Altered mental status
- HE:
-
Hepatic encephalopathy
- SBP:
-
Spontaneous bacterial peritonitis
- HRS:
-
Hepatorenal syndrome
- HPS:
-
Hepatopulmonary syndrome
- PPH:
-
Portopulmonary hypertension
- ACLF:
-
Acute on chronic renal failure
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Sunil Dacha declares no conflict of interest.
Ram M. Subramanian is a consultant for Gambro-Baxter, Inc.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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This article is part of the Topical Collection on Management of the Cirrhotic Patient
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Dacha, S., Subramanian, R.M. Critical Care Management in Cirrhosis. Curr Hepatology Rep 14, 60–68 (2015). https://doi.org/10.1007/s11901-015-0255-9
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DOI: https://doi.org/10.1007/s11901-015-0255-9