ICU Management of Acute Liver Failure

被引：21

作者：

Schilsky, Michael L. ^{[1
,2
,3
]}

Honiden, Shyoko ^{[1
,4
]}

Arnott, Lindsay ^{[2
,5
]}

Emre, Sukru ^{[2
,5
]}

机构：

[1] Yale Univ, Dept Med, New Haven Transplantat Ctr, New Haven, CT 06520 USA

[2] Yale Univ, New Haven Transplantat Ctr, Dept Surg, New Haven, CT 06520 USA

[3] Yale Univ, New Haven Transplantat Ctr, Div Digest Dis, Sect Transplant & Immunol, New Haven, CT 06520 USA

[4] Yale Univ, New Haven Transplantat Ctr, Div Pulmonol & Crit Care, New Haven, CT 06520 USA

[5] Yale Univ, New Haven Transplantat Ctr, Sect Transplant & Immunol, New Haven, CT 06520 USA

来源：

CLINICS IN CHEST MEDICINE | 2009年 / 30卷 / 01期

关键词：

Acute liver failure; Liver transplant; Cerebral edema; Coagulopathy; Liver assist devices; Hypothermia; FULMINANT HEPATIC-FAILURE; ACUTE FATTY LIVER; INTRACRANIAL-PRESSURE; N-ACETYLCYSTEINE; CONTROLLED-TRIAL; PROPHYLACTIC PHENYTOIN; ACETAMINOPHEN OVERDOSE; MODERATE HYPOTHERMIA; FUNGAL-INFECTION; WILSONS-DISEASE;

D O I：

10.1016/j.ccm.2008.10.001

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

100201 [内科学];

摘要：

Survival of patients presenting with acute liver failure (ALF) has improved because of earlier disease recognition, better understanding of pathophysiology of various insults leading to ALF, and advances in supportive measures including a team approach, better ICU care, and liver transplantation. This article focuses on patient management and evaluation that takes place in the ICU for patients who have acute liver injury. An organized team approach to decision making about critical care delivered during this period of time is important for achieving a good patient outcome.

引用

页码：71 / +

页数：18

共 85 条

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