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Abstract Details
Critically Ill Patients with End-Stage Liver Disease
Crager S1. Emerg Med Clin North Am. 2019 Aug;37(3):511-527. doi: 10.1016/j.emc.2019.03.008. Epub 2019 May 21.
Author information
1 Department of Emergency Medicine, 924 Westwood Boulevard, Suite 300, Los Angeles, CA 90049, USA; Division of Critical Care, Department of Anesthesia, University of California Los Angeles-David Geffen School of Medicine, Los Angeles, CA, USA. Electronic address: scrager@mednet.ucla.edu.
Abstract
Patients with end-stage liver disease (ESLD) who require intensive care unit admission have high rates of mortality. This article reviews the pathophysiology and emergency department assessment and management of the most frequent conditions and complications encountered in critically ill ESLD patients including hepatic encephalopathy, gastrointestinal bleeding, sepsis and bacterial peritonitis, hepatorenal syndrome, severe coagulopathy, and hepatic hydrothorax.