Management of acute liver failure. Clinical guideline from the Catalan Society of Digestology.
Manejo de la insuficiencia hepática aguda grave. Documento de posicionamiento de la Societat Catalana de Digestologia.
Acute liver failure
Artificial liver support
Insuficiencia hepática aguda grave
Intensive care unit
Liver transplantation
Soporte hepático artificial
Trasplante hepático
Unidad de cuidados intensivos
Journal
Gastroenterologia y hepatologia
ISSN: 0210-5705
Titre abrégé: Gastroenterol Hepatol
Pays: Spain
ID NLM: 8406671
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
22
06
2018
revised:
19
07
2018
accepted:
27
07
2018
pubmed:
13
10
2018
medline:
2
8
2019
entrez:
13
10
2018
Statut:
ppublish
Résumé
Acute liver failure is an uncommon and severe disease characterised by a rapid onset of severe hepatocellular failure in individuals without previous liver disease. Initial management of this entity determines the outcome of the patient. Initial contact with the acute liver failure patients usually occurs in the emergency department, digestology clinic or, in more severe cases, intensive care units. The management of acute liver failure patients in all these cases must be multidisciplinary, involving surgeons and hepatologists who are experts in this condition, meaning those from hospitals with active liver transplant programmes. This article reviews the current body of evidence concerning the medical management of acute liver failure patients, from the suspected diagnosis and initial management to intensive medical treatment, including the need for an emergency liver transplantation. Moreover, we also review the use of artificial liver support systems in this setting.
Identifiants
pubmed: 30309739
pii: S0210-5705(18)30242-5
doi: 10.1016/j.gastrohep.2018.07.013
pii:
doi:
Types de publication
Journal Article
Practice Guideline
Review
Langues
eng
spa
Pagination
51-64Informations de copyright
Copyright © 2018 Elsevier España, S.L.U. All rights reserved.