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Acute Liver Failure

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Presentation on Acute Liver Failure from Bedside Critical Care conference, Cairns 2013.

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Acute Liver Failure

  1. 1. Acute liver Failure David Anderson Advanced Trainee in Intensive Care Medicine Advanced Trainee in Palliative Medicine
  2. 2. Case
  3. 3. Jaundice Definition Encephalopathy A short time after the onset of Coagulopathy http://www.capitalpath.com.au/about-us/laboratory-information.aspx http://patient.co.uk Encephalopathy
  4. 4. ? Aetiology http://herron.com.au http://giantmicrobes.com http://onlinepillspro.com http://en.wikipedia.org http://indyprops.com
  5. 5. Call for Help http://8774e4voip.com/blog/polycom-soundpoint-ip-bat-phone/
  6. 6. Full Blood Count Biochemistry LFTs Coags (incl fibrinogen) Group and Screen Blood Gas (with Lactate) Paracetamol Level Viral Hepatitis Serologybeta HCG* Ammonia Autoimmune Screen HIV Amylase/Lipase Send Labs http://www.npsg.uwaterloo.ca/people/daniel/rendering/
  7. 7. Give NAC http://nutralife.com
  8. 8. ICU Housekeeping http://allposters.com.au http://mooselicker.wordpress.com/2012/09/24/continuations/
  9. 9. Early Vascular Access http://medgadget.com
  10. 10. Haemodynamics http://lcars47.com http://transfusion.com.au http://hospira.com http://indiamart.com http://healthfirst.com
  11. 11. Encephalopathy http://www.urmc.rochester.edu/hslt/courses/neuroslides/lab2a/slide063.cfm
  12. 12. Encephalopathy ? http://valleyvet.com http://nursingcrib.com http://hexal-elements.de
  13. 13. Start CRRT Early http://gambro.com
  14. 14. Ammonia http://www.luckymojo.com/ammonia.html
  15. 15. Coagulation http://varnerlab.org
  16. 16. TEG Patton et al, 2012 http://www.aacc.org/publications/cln/2011/April/Pages/PlateletFunction.aspx
  17. 17. Microbiology http://giantmicrobes.com
  18. 18. Transplant http://liverfoundation.org.au
  19. 19. Cholongitas et al, 2012 Prognosis
  20. 20. Palliative Care
  21. 21. Extracorporeal Support?
  22. 22. Summary @expensivecare http://expensivecare.com/2013/08/25/alf

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