The Liver Intensive Care Unit.

Journal: Clinics in liver disease
PMID: 40287267

Abstract

Major advances in managing critically ill patients with liver disease have improved their prognosis and access to intensive care facilities. Acute-on-chronic liver failure (ACLF) is now a well-defined disease and these patients can be fast-tracked for liver transplantation (LT) with good outcomes if there are no contraindications. In acute liver failure, plasma exchange has improved prognosis for patients not eligible for immediate transplant. Further advances in novel therapies and refinement of the criteria for early LT in ACLF and also clinical implementation of artificial intelligence tools will probably constitute the next major breakthroughs in critically ill patients with liver disease.

Authors

  • Octavi Bassegoda
    Liver Intensive Care Unit, Liver Unit, Hospital Clinic Barcelona, Barcelona, Spain.
  • Andrés Cárdenas
    Liver Intensive Care Unit, Liver Unit, Hospital Clinic Barcelona, Barcelona, Spain; GI & Liver Transplant Unit, Institut de Malalties Digestives I Metaboliques, Hospital Clinic, Barcelona, Spain; Institut d'Investigacions Biomèdiques August Pi-Sunyer (IDIBAPS), Barcelona, Spain; Ciber de Enfermedades Hepáticas y Digestivas (CIBEREHD), Spain; Department of Medicine, University of Barcelona, Barcelona, Spain. Electronic address: acardena@clinic.cat.

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