This document discusses critical care aspects of chronic hepatic failure. It covers complications like variceal hemorrhage, refractory ascites, spontaneous bacterial peritonitis, and hepatic encephalopathy that often require ICU admission. It describes treatments for these complications including pharmacologic, endoscopic, radiologic, and surgical options. It also discusses management of portal hypertension, variceal bleeding, ascites, hepatic encephalopathy, and other issues related to caring for patients with chronic liver disease in the intensive care setting.