1. Management of Decompensated Cirrhosis and Associated Syndromes
- Author
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Eduardo Rodriguez Zarate, Juan F. Gallegos-Orozco, and Shaun Chandna
- Subjects
Liver Cirrhosis ,medicine.medical_specialty ,Hepatorenal Syndrome ,Cirrhosis ,Critical Care ,Hypertension, Pulmonary ,Esophageal and Gastric Varices ,law.invention ,Hepatorenal syndrome ,law ,medicine ,Humans ,Intensive care medicine ,Hepatopulmonary syndrome ,Clinical syndrome ,Hepatic encephalopathy ,business.industry ,Acute-On-Chronic Liver Failure ,medicine.disease ,Decompensated cirrhosis ,Combined Modality Therapy ,Pulmonary hypertension ,Intensive care unit ,Liver Transplantation ,Hepatic Encephalopathy ,Surgery ,Gastrointestinal Hemorrhage ,business ,Hepatopulmonary Syndrome - Abstract
Patients with cirrhosis account for 3% of intensive care unit admissions with hospital mortality exceeding 50%; however, improvements in survival among patients with acutely decompensated cirrhosis and organ failure have been described when treated in specialized liver transplant centers. Acute-on-chronic liver failure is a distinct clinical syndrome characterized by decompensated cirrhosis associated with one or more organ failures resulting in a significantly higher short-term mortality. In this review, we will discuss the management of common life-threatening complications in the patient with cirrhosis that require intensive care management including neurologic, cardiovascular, gastrointestinal, pulmonary, and renal complications.
- Published
- 2022
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