Evaluation and treatment of the critically ill cirrhotic patient

Gastroenterología y hepatología
Javier FernándezPere Ginés

Abstract

Cirrhotic patients often develop severe complications requiring ICU admission. Grade III-IV hepatic encephalopathy, septic shock, acute-on-chronic liver failure and variceal bleeding are clinical decompensations that need a specific therapeutic approach in cirrhosis. The increased effectiveness of the treatments currently used in this setting and the spread of liver transplantation programs have substantially improved the prognosis of critically ill cirrhotic patients, which has facilitated their admission to critical care units. However, gastroenterologists and intensivists have limited knowledge of the pathogenesis, diagnosis and treatment of these complications and of the prognostic evaluation of critically ill cirrhotic patients. Cirrhotic patients present alterations in systemic and splanchnic hemodynamics, coagulation and immune dysfunction what further increase the complexity of the treatment, the risk of developing new complications and mortality in comparison with the general population. These differential characteristics have important diagnostic and therapeutic implications that must be known by general intensivists. In this context, the Catalan Society of Gastroenterology and Hepatology requested a group of experts ...Continue Reading

References

Aug 1, 1988·Journal of Hepatology·R MoreauC Sicot
May 15, 1998·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·M NavasaJ Rodés
Jun 12, 1999·Journal of Hepatology·J BustamanteJ Rodés
Dec 25, 2002·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Agustín AlbillosMelchor Alvarez-Mon
Jan 20, 2004·Radiographics : a Review Publication of the Radiological Society of North America, Inc·David C MadoffRichard R Saxon
Sep 24, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Alberto MonescilloElena Peña
Mar 25, 2006·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Ming-Hung TsaiCheng-Shyong Wu
Oct 24, 2006·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Javier FernándezVicente Arroyo
Nov 3, 2007·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Tarek I HassaneinAndres T Blei
Feb 23, 2008·Seminars in Liver Disease·Juan Córdoba, Beatriz Mínguez
Feb 29, 2008·The New England Journal of Medicine·James A RussellUNKNOWN VASST Investigators
May 13, 2008·Gastroenterology·Marta Martín-LlahíUNKNOWN TAHRS Investigators
May 13, 2008·Gastroenterology·Arun J SanyalUNKNOWN Terlipressin Study Group
May 22, 2008·The New England Journal of Medicine·UNKNOWN VA/NIH Acute Renal Failure Trial NetworkPeter Peduzzi
Mar 26, 2009·The New England Journal of Medicine·Simon FinferJuan J Ronco
Sep 25, 2009·The New England Journal of Medicine·Pere Ginès, Robert W Schrier
Nov 4, 2009·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Lise L GluudAleksander Krag
Nov 4, 2009·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Thierry GustotRichard Moreau
Feb 25, 2010·Gastroenterology·Jasmohan S BajajArun J Sanyal
Mar 26, 2010·The New England Journal of Medicine·Nathan M BassWilliam P Forbes
Jun 25, 2010·The New England Journal of Medicine·Juan Carlos García-PagánUNKNOWN Early TIPS (Transjugular Intrahepatic Portosystemic Shunt) Cooperative Study Group
Jun 25, 2010·The New England Journal of Medicine·Chia-Chi Wang, Jia-Horng Kao
Jul 17, 2010·Journal of Hepatology·UNKNOWN European Association for the Study of the Liver
Aug 31, 2010·Critical Care Medicine·Vincent DasGeorges Offenstadt
Nov 10, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Yaseen M ArabiAntoine Cherfan
Feb 11, 2011·Alimentary Pharmacology & Therapeutics·J S BajajUNKNOWN International Society for Hepatic Encephalopathy and Nitrogen Metabolism (ISHEN)
Sep 8, 2011·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Jody C OlsonPatrick S Kamath
Jan 12, 2012·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Giuseppe FedeFrancesco Purrello
Feb 4, 2012·Journal of Hepatology·Javier Fernández, Thierry Gustot
Feb 4, 2012·Journal of Hepatology·Pere GinèsFaouzi Saliba
Apr 7, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Cláudia Fagundes, Pere Ginès
Apr 10, 2012·Best Practice & Research. Clinical Gastroenterology·Frederik Nevens, Wim Laleman
Jul 4, 2012·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Yaseen M ArabiUNKNOWN Cooperative Antimicrobial Therapy of Septic Shock (CATSS) Database Research Group
Sep 4, 2012·Journal of Hepatology·Juan Carlos Garcia-PagánJaime Bosch
Dec 6, 2012·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Rafael BañaresUNKNOWN RELIEF study group
Jan 4, 2013·The New England Journal of Medicine·Càndid VillanuevaCarlos Guarner
Jan 31, 2013·Intensive Care Medicine·R P DellingerUNKNOWN Surviving Sepsis Campaign Guidelines Committee including The Pediatric Subgroup
Feb 13, 2013·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Wim LalemanUNKNOWN EASL-CLIF-Consortium

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Citations

Dec 6, 2018·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Douglas A SimonettoPatrick S Kamath
Sep 22, 2020·World Journal of Hepatology·Cyriac Abby PhilipsPhilip Augustine

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