✦ LIBER ✦

Intracranial pressure monitoring in acute liver failure. A procedure with clear indications

✍ Scribed by Julia A. Wendon; Fin Stolze Larsen

Publisher: John Wiley and Sons
Year: 2006
Tongue: English
Weight: 55 KB
Volume: 44
Category: Article
ISSN: 0270-9139
DOI: 10.1002/hep.21311

No coin nor oath required. For personal study only.

✦ Synopsis

tures (etiology, hemodynamic condition, arterial ammonia, spontaneous activity of coagulation factors, serum creatinine, natremia) allowing to exclude from monitoring those patients with the highest probability of spontaneous survival. However, the best answer to the abovementioned challenge is, when possible, to prevent the sometimes avoidable aggravating, or accelerating, factors of encephalopathy in patients with acute liver disease and severe coagulopathy but still without neurological symptoms. In such patients, this prevention should include the early prescription of specific treatments, severe restriction of neurotropic and potentially hepatotoxic drugs and finally the transfer of the patient to a liver unit prior to the onset of clinical encephalopathy. 20

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