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Procedure: Liver Transplant

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Total 21872 results found since Jan 2013.

Critical Care Management of Gastrointestinal Bleeding and Ascites in Liver Failure
Semin Respir Crit Care Med 2018; 39: 566-577 DOI: 10.1055/s-0038-1672200Gastrointestinal (GI) bleeding and ascites are two significant clinical events that frequently present in critically ill patients with chronic liver failure or decompensated cirrhosis. GI bleeding in patients with cirrhosis, particularly portal hypertensive-associated bleeding, carries a high short-term mortality (15–25%) and requires early initiation of a vasoactive agent and antibiotics as well as timely endoscopic management. Conservative transfusion strategies and adequate airway protection are also imperative to assist in bleeding control. The p...
Source: Seminars in Respiratory and Critical Care Medicine - November 28, 2018 Category: Respiratory Medicine Authors: Rajwani, Kapil Fortune, Brett E. Brown, Robert S. Tags: Review Article Source Type: research

Critical care considerations in the management of acute-on-chronic liver failure
Purpose of review Patients with cirrhosis are frequently hospitalized with acute decompensation and organ system failure – a syndrome referred to as acute on chronic liver failure (ACLF). These patients often require critical care intervention and experience significant mortality; however, established diagnostic and prognostic criteria are lacking. Given this, it remains imperative for intensivists to develop an expertise in common ACLF complications and management. Recent findings Liver transplantation serves as the definitive management strategy in ACLF. Traditional organ allocation procedures are based on the Mod...
Source: Current Opinion in Critical Care - March 6, 2020 Category: Nursing Tags: GASTROINTESTINAL SYSTEM: Edited by Ram M. Subramanian Source Type: research

Critical Care of the Solid Organ Transplant Patient Part I: Heart and Lung Part II: Liver, Kidney, and Small Bowel
CRITICAL CARE CLINICS
Source: Critical Care Clinics - November 15, 2018 Category: Intensive Care Authors: Kenneth R. McCurry, Ali Al-Khafaji Source Type: research

Characteristics, management and outcomes of patients with acute liver failure admitted to Australasian intensive care units.
CONCLUSION: POD is the major cause of ALF in Australian and New Zealand liver transplant centres and is a unique and separate form of ALF. It has a much lower associated mortality and treatment with liver transplantation than non-POD ALF. Non-POD patients have a poor prognosis in the absence of transplantation. PMID: 31462206 [PubMed - in process]
Source: Critical Care and Resuscitation - August 31, 2019 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Executive Summary of Recommendations and Expert Consensus for Plasma and Platelet Transfusion Practice in Critically Ill Children: From the Transfusion and Anemia EXpertise Initiative—Control/Avoidance of Bleeding (TAXI-CAB)
CONCLUSIONS: The TAXI-CAB program provides expert-based consensus for pediatric intensivists for the administration of plasma and/or platelet transfusions in critically ill pediatric patients. There is a pressing need for primary research to provide more evidence to guide practitioners.
Source: Pediatric Critical Care Medicine - January 1, 2022 Category: Pediatrics Tags: Executive Summary Source Type: research

Pediatric Liver Transplantation: Unique Concerns for the Critical Care Team
Liver transplantation originated in children more than 50 years ago, and these youngest patients, while comprising the minority of liver transplant recipients nationwide, can have some of the best and most rewarding outcomes. The indications for liver transplantation in children are generally more diverse than those seen in adult patients. This diversity in underlying cause of disease brings with it increased complexity for all who care for these patients. Children, still being completely dependent on others for survival, also require a care team that is able and ready to work with parents and family in addition to the pat...
Source: Critical Care Nursing Quarterly - June 3, 2016 Category: Nursing Tags: Original Articles Source Type: research

Candidemia Diagnosis With T2 Nuclear Magnetic Resonance in a PICU: A New Approach
CONCLUSIONS: T2Candida might be useful for the diagnosis of candidemia in PICUs. The prevalence of candidemia might be underestimated in this pediatric population. The use of this diagnostic tool in these units may help clinicians to start adequate and timely antifungal treatments.
Source: Pediatric Critical Care Medicine - February 1, 2021 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Transcranial Doppler Ultrasonography in Children With Acute Liver Failure and Severe Hepatic Encephalopathy
OBJECTIVES: To report our single-center use of transcranial Doppler (TCD) for noninvasive neuromonitoring in pediatric patients with acute liver failure (ALF). DESIGN: Retrospective cohort from January 2016 to June 2019. SETTING: PICU in Bicêtre Hospital, Assistance Publique- Hôpitaux de Paris (AP-HP), a national referral center for pediatric liver transplantation. PATIENTS: Pediatric patients with severe ALF (prothrombin time
Source: Pediatric Critical Care Medicine - August 1, 2022 Category: Pediatrics Tags: Online Brief Reports Source Type: research

Continuous Veno-Venous Hemodiafiltration and Plasma Exchange in Infantile Acute Liver Failure
Objectives: The purpose of the current study was to assess our multidisciplinary approach consisting of early application of neurology-oriented intensive care, aggressive artificial liver support and liver transplantation at the appropriate time for infants with acute liver failure. Design: Retrospective cohort study. Setting: A tertiary pediatric medical center in Japan. Patients: Seventeen infants younger than 12 months with acute liver failure who subsequently underwent liver transplantation between February 2006 and June 2011. Interventions: None. Measurements and Main Results: The patients varied from 1 to 11 months, ...
Source: Pediatric Critical Care Medicine - October 1, 2015 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

High-Volume Hemofiltration in Children With Acute Liver Failure*
Conclusions: High-volume hemofiltration therapy significantly improves hemodynamic stability and neurological status in children with acute liver failure awaiting for emergency liver transplantation.
Source: Pediatric Critical Care Medicine - September 1, 2014 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Return to Ambulation After Pediatric Liver Transplantation: A First “Step” in Assessing the Impact of Early Mobility*
No abstract available
Source: Pediatric Critical Care Medicine - February 1, 2019 Category: Pediatrics Tags: Editorials Source Type: research

Acute Liver Failure in Children
Pediatric acute liver failure is a rare diagnosis which can result in death or multiorgan system failure with a potential need for liver transplantation. The causative factors are many, but etiology, definitive pathophysiology, and directed therapies are still under investigation contributing to the difficulty in planning and providing both medical and nursing care. Clinical practice guidelines for acute liver failure are available for adult patients and through a national published position paper for pediatrics, but quality evidence is limited, especially with regard to testing and treatment recommendations, providing cha...
Source: Critical Care Nursing Clinics of North America - July 19, 2022 Category: Nursing Authors: Catherine Haut, Louise Flynn Source Type: research

Machine Learning to Predict Cardiac Death Within 1 Hour After Terminal Extubation*
Conclusions: Our long short-term memory model accurately predicted whether a child will die within 1 hour of terminal extubation and may improve counseling for families. Our model can identify potential candidates for donation after cardiac death while minimizing unnecessarily prepared operating rooms.
Source: Pediatric Critical Care Medicine - February 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research

Laboratory tests in liver failure
Publication date: Available online 27 November 2014 Source:Anaesthesia & Intensive Care Medicine Author(s): Frances Lui Laboratory tests of liver function are among most commonly ordered investigations. Interpretation of liver function tests requires analysis of metabolic and synthetic functions of the liver, with some parameters reflecting hepatocellular injury rather than measuring liver function per se. Laboratory liver function tests assist clinical assessment in identification of aetiology of liver failure, serial monitoring of disease progress, classifying severity and scoring systems, predicting deteriorat...
Source: Anaesthesia and intensive care medicine - December 4, 2014 Category: Anesthesiology Source Type: research

Intensive care management of acute-on-chronic liver failure
AbstractAcute-on-chronic liver failure (ACLF) is a clinical syndrome defined by an acute deterioration of the liver function associated with extrahepatic organ failures requiring intensive care support and associated with a high short-term mortality. ACLF has emerged as a major cause of mortality in patients with cirrhosis and chronic liver disease. ACLF has a unique pathophysiology in which systemic inflammation plays a key role; this provides the basis of novel therapies, several of which are now in clinical trials. Intensive care unit (ICU) therapy parallels that applied in the general ICU population in some organ failu...
Source: Intensive Care Medicine - August 8, 2023 Category: Intensive Care Source Type: research