The Liver Meeting 2020-Acute on Chronic Liver Failure SIG The Changing Role of Transplant in Acute on Chronic Liver Failure

Acute on Chronic Liver Failure SIG The Changing Role of Transplant in Acute on Chronic Liver Failure

Video Transcription

Video Summary

The video discussed the management of acute onchronic liver failure patients awaiting liver transplantation, focusing on circulatory, respiratory, hematologic, and renal support in the ICU. Various aspects such as shock management, respiratory failure, antimicrobial therapy, encephalopathy treatments, kidney injury causes, and liver transplant feasibility were covered. The role of early antimicrobial therapy in sepsis, lung protective ventilation in respiratory failure, and strategies to optimize pre-transplant conditions were highlighted to improve patient outcomes. Post-transplant complications like central nervous system and respiratory issues, encephalopathy, and respiratory failure were addressed, emphasizing the importance of monitoring and managing these to enhance post-transplant outcomes. The video also discussed neurological and respiratory complications post liver transplantation, emphasizing the impact on outcomes and the benefits of integrating palliative care for ACLF patients on the transplant list to enhance quality of life for patients and families. The importance of palliative care due to high mortality rates and uncertainty surrounding ACLF was underscored, along with suggestions to integrate it throughout the transplant evaluation process.

Keywords

acute onchronic liver failure

liver transplantation

ICU management

shock management

respiratory failure

antimicrobial therapy

encephalopathy treatment

kidney injury

pre-transplant optimization

post-transplant complications

palliative care